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20986 price?

  1. #1
    Default 20986 price?
    Medical Coding Books
    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?

  2. #2
    Modesto, CA; Central Valley Chapter
    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?


  3. #3
    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
    Modesto, CA; Central Valley Chapter
    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.


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