AAPC - Back to school
Results 1 to 3 of 3

Thread: Baclofen Pump Billing

  1. #1
    Join Date
    Apr 2007
    Sioux Falls, SD

    Default Baclofen Pump Billing

    AAPC: Back to School
    I am seeking guidance and input on a situation with billing for the refill and maintenance of baclofen pumps for Medicare. We have patients with severe spasicity who are on long term baclofen therapy. They are seen every 2 - 4 months for pump maintenance and refill. We do not supply the drug. We only supply the service. The drug is actually supplied by a local hospital. For all other carriers we bill these services as 95990 and 62368 but this is being rejected by Medicare.

    Any assistance you can provide will be greatly appreciated!

  2. #2


    Are they being denied or RTP? What is the reason code?

  3. #3
    Join Date
    Apr 2007
    Sioux Falls, SD

    Default Remark code 36136

    They are in the "TB" status and the code is 36136 which states something along this line..."HCPC file fee indicator must be equal to an "R" and the HCPC file rehab rate must be greater than zero"
    I admit I am new to Medicare and very confused at this point. So far I haven't received payment for anything. The other code they are putting on several of my claims is E0401 which states Revenue code 0403 cannot be on bill type 741. I am not using revenue code 0403 I am using 0430. I took their training webinars which did not cover any of these things. I will be grateful for any help I can get.

Similar Threads

  1. Question regarding Baclofen billing
    By jenniferh382 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-12-2013, 05:17 AM
  2. Baclofen pump contrast injection
    By ruthkids in forum Interventional Radiology
    Replies: 2
    Last Post: 12-02-2011, 09:52 AM
  3. Baclofen Pump Refill
    By renifejn in forum Interventional Radiology
    Replies: 3
    Last Post: 07-22-2008, 01:31 PM
  4. Baclofen pump resevoir refill
    By renifejn in forum General Surgery
    Replies: 1
    Last Post: 07-22-2008, 04:16 AM
  5. Baclofen pump resevoir refill
    By renifejn in forum Gastroenterology
    Replies: 0
    Last Post: 07-11-2008, 07:08 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.