MMadrigal
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Does anyone have suggestions how we are to bill the mdcr plans for the Neoprene Patella Stabilizing braces? Even if the insurance is not going to reimburse us, we would like to be able to bill the patient. We do have them sign an ABN while in office, but the rejections from the ins co. indicate we cannot bill pt. Many of them are rejecting as "invalid procedure code". We are using A4466, submiting a copy of the clinical note, and also a copy of the manufacturers invoice. We are using modifer GY. Any suggestions would be greatly appreciated. Can we just sell the brace to the patient, letting them know their ins. will not pay for this brace? Thank you in advance. Mary MMadrigal@hawaii.rr.com