We have an ENT dr that does procedures in our facility (ASC), we are having an issue when he does a T&A (42820) or Tympanostomy (69436) along with any 30802,30930, or 30140... We get paid by commercial carriers however NC Medicaid doesnt pay but for the primary procedure. I am thinking this is a Medicaid rule. Does anyone else bill for an ASC or an ENT that may can help, or know of edits that do not allow this or does anyone know if this is indeed a Medicaid issue?
Thanks!
Thanks!