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Porth a Caths

  1. #1
    Location
    NEW ORLEANS
    Posts
    956
    Default Porth a Caths
    Medical Coding Books
    Is there a code (hcpcs level 2 that is }for a porth a cath it self. We are using mostly cpt code 36561 but someone to told me we can use A4301 for the port a cath itself.

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    The C1751 and C1788 are the two codes for you to look at. (I use the C1788)

    "A" codes dont work for an ASC (or least I've never had any luck).

  3. #3
    Location
    NEW ORLEANS
    Posts
    956
    Default
    check this out -asc guidelines says NI- 0-which is included . for c1788
    how are we going to get paid for poth a cath itself-I work at a free standing ASC -

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    You are right, if its a Medicare patient, there is no additional reimbursement due to the N1 payment indicator. You will only receive payment from commercial/private payors. Same thing for mesh w/hernias. Medicare isnt paying for any of it anymore

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