lmartien
Guru
I have a scenario where a patient has a tympanoplasty (69631) with a skin substitute graft (Q4131) in the ASC. The doctor has asked about using 15732 (flap) with the procedure to help capture reimbursement or the graft product itself. In my opinion, this would be inappropriate as the graft is not autologous from the patient, but an allograft. Do anyone know if the graft product would be paid in either the ASC or HOPD setting? I'm thinking no for ASC and yes for HOPD but would like validation.
Thank you!
Linda
Thank you!
Linda