celcano
Networker
We have a Noridian Medicare patient who gets a sphenopalatine ganglion nerve block via a cotton tipped intranasal topical anesthetic for her migraines. In the past, Medicare did not pay for this procedure. Our biller called Medicare last week as was told that Medicare would now cover this if billed with 64999 and records are submitted. In looking at Local Coverage Article A55584, it states "Noridian is issuing coding guidance for billing the use of Dolor Technologies SphenoCath (R) device or OTHER SIMILAR DELIVERY DEVICES. To bill for these devices use CPT (R) 64999 as described in CPT Assistant (July 2014, Volume 24, Issue 7, pages 8-9).
Is it fair to assume that a "cotton tipped applicator" would be considered an "other similar delivery device". Any input would be greatly appreciated.
Is it fair to assume that a "cotton tipped applicator" would be considered an "other similar delivery device". Any input would be greatly appreciated.