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spinal pump refills

  1. #1
    Default spinal pump refills
    Medical Coding Books
    I have an NP that is doing spinal pump refills and have been coding the 95990 and 62368. I am wondering if 95990 is the correct code. I have been not using the 95991 because it specifically states by "physician". Does anyone have any thoughts on this? Is the 95990 the appropriate code for an NP?
    Thanks
    Peggy

  2. #2
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    North Carolina
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    95990 is billed "incident to" a physician's services.
    Last edited by RebeccaWoodward*; 09-08-2009 at 10:52 AM.

  3. #3
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    Rebecca,
    Thank you for your reply, but that isn't what I am asking. I need to know if an NP should use the 95990? Or can you use the 95991 even though it says by "physician".
    thanks
    Peggy

  4. #4
    Location
    North Carolina
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    I was careful to answer this question since incident to does not apply in the hospital setting. I wasn't sure where the procedure took place.

    Excerpt from CPT Assistant...

    Code 95990 has no physician work value and describes the services reported by the nonphysician provider, while code 95991 is reported for the physician services provided in the refilling and maintenance of the implantable pump or reservoir.

  5. #5
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    Quote Originally Posted by Peggy M View Post
    Rebecca,
    Thank you for your reply, but that isn't what I am asking. I need to know if an NP should use the 95990? Or can you use the 95991 even though it says by "physician".
    thanks
    Peggy
    an NP should use 95990

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