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20986 price?

  1. #1
    Default 20986 price?
    Exam Training Packages
    I have a doctor wanting to bill 20986 which is new in 2008, however, I don't see an RVU associated with that code. I'm curious what others do when there is not an RVU for a code as far as setting a price?
    Suggestions?
    Thanks,
    Jennifer

  2. #2
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    It is an add on code which is probably why you do not see RVUs associated. I will do some more research to see if I can locate more information on it.

    What Medicare carrier are you with and did you check out their fee schedule or any policies they have on add on codes?

    thanks
    Tina

  3. #3
    Default
    We use Noridian. I had called our billing dept to ask about a fee for it, and they were unable to locate information.

  4. #4
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    I made a few calls and an average charge in this area ranges from $190.00 to $300.00. Wish I could have narrowed it down for you but.....maybe it provides you with enough information to drill down to a charge for your physician.

    thanks
    Tina

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