Results 1 to 4 of 4

Ent - temporary implant

  1. #1
    Monmouth, NJ & Dover, DE
    Default Ent - temporary implant
    Clearnace Sale
    My {Houston} ASC is wanting me to bill for a new product. Its a Microflow spacer [Relieva Stratus] that expands the patients ethmoid sinus area. It is performed like the balloon sinuplasty but this device stays in the patients sinus area for 14 days [US] up to 28 days[UK]. The reps states some facilities bill it as an implant and some as a supply. Any thoughts or input as to your experience with this? Thanks for your input!!

  2. #2
    In an ASC I was always taught that if there was something implanted and left with the patient than you would bill it as an implant. Thats my 2 cents

  3. Smile
    In our ASC, we have found that our carriers (commercial) define an implant as any implantable device that is implanted into the patient and remains for at least 30 days or more.

    If this is the case, we bill the implant providing that we have implants carved out in our contracts.

    We are currently looking at this same supply and are questioning whether or not it is considered an implant with insurance carriers, supply or drug delivery device.

    The rep states that many people are billing it with L8699 which is an unlisted implant code, which many of my payers will not pay for unlisted. Let me know what you find out as i am curious.

    Caprice Walder, CPC

  4. #4
    Monmouth, NJ & Dover, DE
    Caprice: I was a bit concerned with calling it an implant, especially with the amount of days it will be placed in the nasal cavity. After looking at a few codes I think I am going to try using C1726...... any thoughts? The description on the item states it is a Microflow spacer [a catheter with precision formed micropore reservoir]. Its the closest description.... and I dont want to use 99070. Ugh...thank goodness its friday!

Similar Threads

  1. Temporary Pacemaker
    By Jess1125 in forum Cardiology
    Replies: 1
    Last Post: 06-09-2015, 12:48 PM
  2. Billing a temporary ent under pcp mcr
    By stacilee in forum Billing/Reimbursement
    Replies: 0
    Last Post: 08-05-2014, 09:06 AM
  3. temporary pacer
    By aforsythe in forum Cardiology
    Replies: 2
    Last Post: 07-29-2009, 06:28 AM
  4. temporary pacemaker
    By dpumford in forum Cardiology
    Replies: 4
    Last Post: 02-24-2009, 08:37 AM
  5. Temporary Q codes
    By tgutierrez in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-02-2008, 04:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.