Results 1 to 4 of 4

Novasure, Thermachoice, Essure

  1. Default Novasure, Thermachoice, Essure
    Medical Coding Books
    Are any of you having any luck getting higher reimbursment for Novasure Thermachoice and Essure being done in an office visit setting vs at the hospital?

  2. #2
    Tacoma, WA
    Quote Originally Posted by samantha Martel View Post
    Are any of you having any luck getting higher reimbursment for Novasure Thermachoice and Essure being done in an office visit setting vs at the hospital?
    You should be getting a lot higher reimbursement but be sure you are using the office POS on your claim. The reimbursement is driven by the place of service RVUs, so showing that the procedure was in office with an 11 POS should automatically bump things up! The Novasure code is 58563 and the Essure code is 58565.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default
    I will always look at the reimbursement and if it is less than it should be I call the insurance and make sure that they processed the claim as in the office. They make this mistake sometimes.

    Robin King, CPC

  4. Default
    I know this response is a little late from the original post; however I wanted to share some of my knowledge about officevs. hospital reimbursement. Knowing all of your fee schedules is the first factor in reimbursement, but even more important asking the insurance company if there is a site of service differential between office and hospital. I have found that there are a few that wont reimburse you for in the office at a higher rate like Great West. (depending on your contract). Dont forget to bill for the injection medication, and urine sample if provided in the office prior to the procedure.

Similar Threads

  1. Failed Thermachoice Uterine Ablation
    By gsasmama in forum OB/GYN
    Replies: 1
    Last Post: 10-17-2012, 09:41 AM
  2. Novasure help!
    By NKenner in forum OB/GYN
    Replies: 2
    Last Post: 04-13-2012, 08:47 AM
  3. Novasure help!
    By NKenner in forum Outpatient Facilities
    Replies: 1
    Last Post: 04-12-2012, 09:44 AM
  4. Thermachoice
    By curlindasinger156 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 03-19-2010, 08:34 AM
  5. Novasure
    By emreed99 in forum OB/GYN
    Replies: 1
    Last Post: 02-15-2010, 11:10 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.