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55250- Vasectomy

  1. #1
    Default 55250- Vasectomy
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    I have a provider that always chooses to use IV infusion 96365 when she performs a vasectomy. The 55250 includes local anesthesia, but I do not see where IV anesthesia is included. Can 96365 be billed in conjunction with 55250?

  2. Default
    Quote Originally Posted by chenry4 View Post
    I have a provider that always chooses to use IV infusion 96365 when she performs a vasectomy. The 55250 includes local anesthesia, but I do not see where IV anesthesia is included. Can 96365 be billed in conjunction with 55250?
    What is being infused?

  3. Default
    Medicare will not reimburse for anesthesia administered by the surgeon or urologist, or for tray charges. However, there are a few commercial carriers that will still reimburse for local anesthesia administered by the urologist and for a tray charge. Check with the specific carrier. One may bill private or commercial carriers HCPCS code S0020 (Injection, bupivicaine HCL, 30 ml) for reimbursement of the anesthetic agent used.

  4. #4
    Default
    The patient does have commercial insurace. The patient was started on sodium chloride and then two IV pushes of Nubain were given.

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