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Thread: Colo-rectal instillation of formalin

  1. #1
    Join Date
    Apr 2007
    Location
    Hamden, CT
    Posts
    23

    Default Colo-rectal instillation of formalin

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    I am looking for guidance on how to code for the instillation of formalin.

    Two of our doctors perform this procedure mostly for patients with incontinence caused by radiation proctitis. We are using an unlisted code of 45999 with a fee of $600.00.
    Medicare has been denying the procedures stating that the material is not FDA approved.

    is there another way I should be coding for this? This is an acceptable form of treatment that they have been doing for a few years now, however we are recently recieving denials on this. I am unable to locate any information to support that this may be FDA approved to help support an appeal.

    Any guidance or advice is appreciated.
    Thanks!!

  2. #2

    Default Colo-rectal instillation of formalin

    We use 45317.


    Quote Originally Posted by renee868 View Post
    I am looking for guidance on how to code for the instillation of formalin.

    Two of our doctors perform this procedure mostly for patients with incontinence caused by radiation proctitis. We are using an unlisted code of 45999 with a fee of $600.00.
    Medicare has been denying the procedures stating that the material is not FDA approved.

    is there another way I should be coding for this? This is an acceptable form of treatment that they have been doing for a few years now, however we are recently recieving denials on this. I am unable to locate any information to support that this may be FDA approved to help support an appeal.

    Any guidance or advice is appreciated.
    Thanks!!

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