Wiki Shunt reprogramming

[sbivens003]

Question re: shunt reprogramming for Neurosurgery.
When the neurosurgeons do a shunt reprogramming in the hospital, we bill 62252, but it always gets denied. The doctor owns his own shunt reprogrammer, so I do not append a 26 modifier. Any suggestions on how to get this paid?

 

[unicorn80]

Have you tried to appeal the denial?

 

[SharonCollachi]

I think the problem is that you are billing a a code with a professional code and a tech code in the facility setting. Under typical circumstances, the facility should be billing the technical, because insurance expects the facility to own the equipment.

You could try an appeal with documentation that you own the equipment.