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New fee schedule for Medicare ASC

  1. Red face New fee schedule for Medicare ASC
    Medical Coding Books
    I am a little confused by the new fee schedule when it comes to the neurostim trials and IPG inserts. Do you still use the L codes for equipment or just the CPT codes. Also a little clarification on the FC modifier and the FB modifier. Thanks for any help.

  2. #2
    Default trial stimtulators
    With the new medicare fee, the price of the the implant is included in the procedure fee.

  3. #3
    The new fee does include the supplies, so you would not bill the L code(s), just the CPT Code(s). As far as the FB and FC modifiers, they are used when the surgery center gets the implants for free or a significant reduction or credit. This is Medicare's way of trying to make sure they don't pay your center for something your center didn't pay for.

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