s2900 cpt code

dkesemere

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S2900 is the CPT code for MAKO navigation system which is used for total hip an knee arthroplasties. Medicare will not accept the usage of this code. How will it ever get beyond the experiment state if Medicare will not accept it a a legitimate code.
 

mitchellde

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A procedure code that begins with S is not a CPT code it is an HCPC II code and the S codes are non-Medicare they are temporary commercial code ins codes
 

dkesemere

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s2900

Thank you for the information. I find the commercial carriers also are not acknowledging the S2900. Is there any way we can get it paid in the future. Everyone is very enthused about the robotics but there is no financial benefit to the provider for its use. Any suggestions as to how we can get it on the paid list.
 
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The robot is simply the device used to accomplish the surgery

Very rarely will any insurance pay for S2900 for the use of the robot. In my experience, unless you have it written into your provider contract, it never gets paid. And good luck with getting it written into your provider contract. Many offices that use this code really are just using it as a tracking tool.
The theory is that the robot is simply a device used in performing the surgery, so you do not bill for using the equipment. You should be billing and getting paid for the actual arthroplasty. You don't get additional payment for using the robot to accomplish the same surgery as before. It doesn't take MORE skill (just a DIFFERENT skill) and there is no additional cost to the physician (only the hospital buying the equipment).
I'm not in ortho, but I work for a very busy gyn oncology surgeon. He was doing laparoscopic total hysterectomies before the robot even existed. Once the robot came into the picture and he started doing surgeries with the robot, I will say INITIALLY the surgery took a little longer due to the learning curve. However, in a short period of time, the surgeries were the same time frame as prior. The idea of performing robotic surgery is not to get paid more money for the same procedure. It is to offer your patients the latest in medical advances, with potentially shorter recovery times and better outcomes.
 
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