rmstapleton
Guest
I am seeking input on the use of 91000 for outpatient facility claims in 2012. Is there a reason why this code is still being used when it was deleted in 2011? Thank you.
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Wiki Request input on use of 91000
- Thread starter rmstapleton
- Start date
mitchellde
True Blue
It should not have been and should not have been paid. The only payer that may still use a deleted code is work comp otherwise it is not compliant to use a deleted code.
rmstapleton
Guest
Thank you Debra. Is it possible that 91000 is uniquely payable under a self funded benefit plan? My concern is that the TPA's I have been involved with follow the CPT guidelines closely and yet I am seeing billed charges and payment for this code.
mitchellde
True Blue
If they are a non HIPAA payer then it is possible. If they are a HIPAA regulated payer then no