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Thread: Essure procedures

  1. #1
    Join Date
    Apr 2007
    Palm Beach

    Default Essure procedures

    AAPC: Back to School
    Is anyone doing Essure procedures in their ASC facilities? If you are, what codes are you using and how is the reimbursement?

  2. #2

    Arrow Essure

    I am doing this procedure on daily basis. Take 58565 for Essure Procedure; L8699 for the implant. V61.5 and v25.2 can be the compatabile Dx and Volume 3 should be 66.29. Anesthesia should be 00952

    Thank You
    Amit Joshi MSc,CPC,CPC-H

  3. #3
    Join Date
    Apr 2007
    Palm Beach


    Thank you for your response. Are any of the carriers paying for the L8699 for the implant?

  4. #4


    L8699 is the correct code for implant. I am intentionally using it and never had face a denial on this.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

  5. #5


    How would I code for the essure procedure 58565 if the physician is billing the global which he is supplying the essure device, I know I would use v25.2
    but what procedure code would I use to be paid for the facility in the ASC setting?

  6. #6
    Join Date
    Apr 2007



    Just heads up on the Essure we do a lot of them and CIGNA pays the same
    for this procedure no matter where it is done. They pay around 400 or so
    which no where near covers the device itself. I am currently trying to find
    a way to appeal. It is best to always check the payment schedules for each
    different insurance company since Blue Cross and several others are doing
    quite well on payment.

    If anyone has any suggestions on how to get CIGNA to at least cover the
    device I would appreciate it.


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