Kaila Hess
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Hello,
Wondering if anyone can clarify on the appropriateness of billing skin substitutes at an ASC. We have used 15777 (implantation of biologic implant) on breast cases and in the past have billed the HCPCS Q4116 or Q4128 as well.
In a recent issue of MLN matters, I read that ASC's should NOT bill for packaged skin substitutes under ASC payment system. I use Select Coder coding software to refer to and it designates Q4116 & Q4128 as a packaged service/item, no separate payment made.
In the CPT book, under 15777, there is a note - "the supply of biologic implant should be reported separately in conjunction with 15777."
These things feel conflicting and we are hoping someone has some clarifying information!
Thank you!
K
Wondering if anyone can clarify on the appropriateness of billing skin substitutes at an ASC. We have used 15777 (implantation of biologic implant) on breast cases and in the past have billed the HCPCS Q4116 or Q4128 as well.
In a recent issue of MLN matters, I read that ASC's should NOT bill for packaged skin substitutes under ASC payment system. I use Select Coder coding software to refer to and it designates Q4116 & Q4128 as a packaged service/item, no separate payment made.
In the CPT book, under 15777, there is a note - "the supply of biologic implant should be reported separately in conjunction with 15777."
These things feel conflicting and we are hoping someone has some clarifying information!
Thank you!
K