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Wiki New Device interrogation coding guidelines

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cvand1972

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Now we all know that the remote interrogations can only be billed every 90 days. However, in the instance that there's a circumstance that requires us to interrogate the device before that 90 day period is up, our Providers want to be able to bill for it and get paid. Has anyone tried appealing anything like this and were you successfull?
For example, a patient has his device interrogated on 6/1. He's not scheduled for another interrogation until 9/3, but in between that time something might cause him to need another interrogation say on 7/1 so we remotely interrogate it. Our Providers want to be able to bill for this. Now, I have no problem billing for it and receiving the denial. But is it even worth it to appeal it for 'medical necessity' reasons??
 
No, you shouldn't bill additional remote interrogations. The RVU is set to include numerous interrogations in the 90 day period, whether you do any more than one or not. If the pt is having a problem, most likely he would be brought in for an in-person programming/eval, and that is billable. I've considered using a dummy code to enter any 'in-between' remote interrogations - just to track how many are actually done.
 
What date of service are you billing remote interrogations under? The date the monitoring period begins? The date of the first physician analysis/review/report?
 
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