AAPC - Back to school
Results 1 to 2 of 2

Thread: Cosmetic Procedures and Medicare

  1. #1
    Join Date
    Apr 2007
    New Port Richey & Gulf to Bay

    Question Cosmetic Procedures and Medicare

    AAPC: Back to School
    I have just heard from someone that a facility and provider are legally required to report all cosmetics procedures to Medicare, if the code is considered a cover code. All you would do is have the patient sign an ABN.

    Example, A patient is scheduled for a cosmetic procedure. Patient signs an ABN and pays for their procedure. A claim is generated to Medicare, because the code is on their covered list. If Medicare decides this is medically necessary (Even with a V50.1 dx code) and pays the claim, we are to refund the patient. If they don't pay, we would keep the patients money due to the ABN.

    Is that the way cosmetic procedures are to be done, if the patient has Medicare? Can someone provide me with official resources and references? Thank you for the help.

  2. #2

    Default Cosmetic Procedures and Medicare

    Hi! Did you ever receive answers or thoughts to this post? Thanks in advance.

Similar Threads

  1. Replies: 0
    Last Post: 08-15-2014, 12:53 PM
  2. E/M and cosmetic procedures
    By salorn88@aol.com in forum E/M
    Replies: 1
    Last Post: 09-05-2013, 06:30 AM
  3. RVU for Cosmetic Procedures
    By KATHY WILHELMSEN in forum Plastic Surgery
    Replies: 1
    Last Post: 09-01-2011, 01:56 PM
  4. List of Cosmetic Derm Procedures?
    By npusa0034 in forum Dermatology
    Replies: 1
    Last Post: 07-02-2011, 02:53 AM
  5. Establishing fees for cosmetic procedures
    By Texmexsop1 in forum Plastic Surgery
    Replies: 2
    Last Post: 11-09-2010, 10:56 AM

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.