• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Vascular

Create Wiki
J

jgray2006

Contributor
Messages
21
Location
Ridge, NY
Best answers
0
I Was Wondering If Anyone Can Help Us With A Problem.. We Have A Vascular Dr That Insists That All Add On Codes Need To Be Pd In Full Along With The Primary Code. An Example Of This Is
36475 And 36476. Dr Expects Both Codes To Be Pd In Full As A Par Dr. Any Help Will Be Greatly Appreciated
 
Are they paying them correctly per their fee schedule?

Being an add on code the reimbursement is lower than the primary code because the RVU is much lower. Medicare pays based on RVU, not the fee submitted, is that what he is expecting to get in full?

Pull up the medicare fee schedule and show him what they approve for those codes, hopefully that will help. I am assuming he knows they only pay 80% of what they approve and that is not his issue.

Good luck,

Laura, CPC
 
Thank You For The Insight.... I Appreciate It... As Far As We Can Tell He Is Being Pd In Full Per The Par Fee Schedule...
 
You must log in or register to reply here.
Top