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Bone Graft - Spinal Surgery

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Bone Graft - Spinal Surgery
    Medical Coding Books
    Has anyone had any luck getting 20930 bone graft for spinal surgery paid after an Insurance co. bundles it with the spinal fusion itself?

    I know some ins. co's pay the bone graft while others do not. Just curious. Most of my Dr's just want the fusion codes paid but I don't mind doing some leg-work to get the graft paid.

    Many Thanks....

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default Bone graft-Spinal Surgery
    No luck! But I always bill because who knows in the future they may, but I really do not think it's worth the time involved.
    jdemar, CPC, CMA

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    I agree...but thanks for the heads-up!!:d

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    No...for those carriers that denied it first time around, no luck.

  5. Default fusion with bone graft
    Hi
    I have had success with getting this paid with both eletronic and written appeals. I send a copy of the coding compainion page stating any bone graft is reported separately. This has worked for me and only takes a minute. I keep a copy of the page ready to go.

    Hope this helps

  6. #6
    Location
    Long Island/New York
    Posts
    1,271
    Default
    COOL...WAS IT TIME CONSUMING?

  7. #7
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by cathy56 View Post
    Hi
    I have had success with getting this paid with both eletronic and written appeals. I send a copy of the coding compainion page stating any bone graft is reported separately. This has worked for me and only takes a minute. I keep a copy of the page ready to go.

    Hope this helps
    Thanks. will send out today and see what happens. What I meant by time-consuming was - did it take forever to get the check and did you have to fight tooth & nail?

    Thanks again.

    Keith

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