1. David Price
   Posted 3 months ago #
   

   My doctor is being told we can bill the insurance company for catheters and other supplied we use in the office. Do you know anything about how I would do this? Coding? Who I could get in touch with about this? Would the medical supply company know anything about it?

2. SuperCoder
   Posted 3 months ago #
   

   The answer is definitely no. You cannot charge Medicare for the catheter when billing for a catheter insertion. The cost of the catheter is included in the practice expense portion of your payment for the insertion. You cannot charge with or without an ABN. A charge for the catheter would, in essence, be double-charging Medicare.
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   That being said, the carriers were probably thinking of "catheters for home use." If you give a catheter to a patient to use at home, you can charge for the catheter. If this is a patient with chronic incontinence, DME can be charged without an ABN. If you are charging for DME, you will need to have a supplier number and charge this to the durable medical equipment regional carrier. If this is not a chronic incontinence problem, then the patient can be charged, and we would suggest using an ABN.
   Let us repeat: This is not for a catheter you inserted that will be used at home; this is for a catheter given to the patient to use at home and for which there was no insertion performed or charged.

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