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Thread: Asc breast reconstruction coding

  1. #1

    Question Breast reconstruction at an asc

    AAPC: Back to School
    Has anyone ever heard of a "j" qualifying/credentialing code required in order for an asc to perform breast reconstruction with implants on a cancer patient? Supposedly the insurance companies will not pay for the implants without this.
    Last edited by sbarat; 06-10-2010 at 06:49 AM.

  2. #2
    Join Date
    Apr 2007


    I believe they are referring to Medicare Administrative Contractors (MAC) jurisdiction numbers. In FL our MAC is First Coast Service Options - which is J9.

    Basically, they want the facility to be Medicare Provider.


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