Results 1 to 2 of 2

Billing for devices with facility

  1. #1
    Default Billing for devices with facility
    New Call-to-action
    I work in Billng for an ASC that does Gynecology only. We've been open for 5 years and have always billed for the facility using revenue code 490. Recently we were told by Cigna that we can bill for our devices in addition to our procedures and receive reimbursement for both. This does not sound right to me. Wouldn't they have to reduce our normal reimbursement at least a little to make it worth it for them to pay us as they have been paying us already and then pay us separately for a device?

    Also, I have only billed for the facility code only with rev 490 so can someone offer feedback on how the device billing is supposed to be presented on the UB-04?

    I can't find HCPCS codes for our devices that my company is wanting to bill separately for so I think they are under the impression that we can just bill CPT codes as usual with the Revenue code 278 to indicate devices. I do not believe this is the way the claim should be presented, but I am aware that I could be wrong since I've never done device billing before.

    I guess the big question is : to bill with Rev code 278, we have to use HCPCS codes not CPT codes, right?
    Last edited by; 12-16-2010 at 07:52 AM.

  2. #2
    Monmouth, NJ & Dover, DE
    At my facility we bill out rev code 270 with HCPCS A4649 for medical supplies [such as the Novasure device] and rev code 278 with HCPCS L8966 for implants [such as Adiana birth control]. We are contracted with some of our carriers and it is written into the contract with these HCPCS codes. We also bill out these same codes to our non contracted providers. This does not drop the reimbursment for the main procedure code. Hope this helps you.

Similar Threads

  1. PA BILLING QUESTION Facility Vs Non Facility
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-16-2014, 11:50 AM
  2. ED Facility Splinting Devices
    By francespark in forum Emergency Department
    Replies: 0
    Last Post: 01-30-2012, 11:02 AM
  3. Billing for vasopneumatic devices CPT 97016
    By yelena65 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-02-2011, 11:06 PM
  4. tandem heart devices and impella devices
    By aforsythe in forum Cardiology
    Replies: 0
    Last Post: 10-29-2008, 07:48 AM
  5. Accessory Devices
    By dbybee in forum Outpatient Facilities
    Replies: 2
    Last Post: 07-14-2008, 06:06 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.