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Mirena brought from office to hospital

  1. Default Mirena brought from office to hospital
    Medical Coding Books
    Patient came to hospital for D&C and our provider placed IUD at the same time. He brought the Mirena from the office. Can we bill for the Mirena and if so, how?

  2. #2
    He would have to look to the facility be be reimbursed. Its considered a facility expense.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  3. Default
    Quote Originally Posted by CodingKing View Post
    He would have to look to the facility be be reimbursed. Its considered a facility expense.
    So the physician cannot bill insurance, correct?

  4. #4
    Correct, insurance companies will not reimburse a physician for a drug that was given to a patient while they were in a facility. The facility's pharmacy should be providing this and the physician should make arrangements with the facility to have it available if it is going to be needed for the patient during the procedure.
    Thomas Field, CPC, CEMC

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