First are these being done in office or at a facility? Normally, facility reimbursement is lower because you don't have the same overhead that you do in the office. As an example, I have provided our Medicare reimbursement for these codes below. As you can see, the reimbursement for the procedure in a facility (Hospital, Surgicenter) is less then the non-facility (Office). So you need to consider where you are doing the procedure and check to see if your place of service code it correct on your claims.
Non-Facility 58353 $1024.82
Facility 58353 $209.89
Non-Facility 58563 $1669.68
Facility 58563 $332.61
You also need to take a look at the fee schedules for all of your insurance contracts and see if they include facility and non-facility reimbursement as well.
Angela Jordan, CPC
Manager Coding & Compliance
Women's Healthcare Network, LLC
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