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Marina Posted Fri 08th of March, 2019 13:09:28 PM
How can I find the Medicare allowable for 0376T?
SuperCoder Answered Mon 11th of March, 2019 03:58:15 AM

Code 0376T is an add–on procedure, the provider inserts an additional device into the trabecular meshwork (translucent tissue at the base of the cornea that drains aqueous fluid from the eye) to lower intraocular pressure in patients with glaucoma. Because +0376T is an add–on code, payers will not reimburse you if you report it without an appropriate primary code, use 0191T, Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork initial insertion. Medicare allowable can be check under the Medicare Fee Schedule, for code 0376T dollar value is $0.00 in facility and non-facility settings. Also, Medicare code status for this code is "C", means "Carriers Price The Code". Carriers will establish RVUs and payment amounts for these services, generally on an individual case basis following review of documentation such as an operative report.

Hope this helps!

Marina Posted Mon 11th of March, 2019 12:22:05 PM
So I bill both 0376T along with 0191T, correct?
SuperCoder Answered Tue 12th of March, 2019 04:29:02 AM
Code 0376T is an add–on procedure code, use one unit of this code for each additional device that the provider inserts.
For the first device insertion use code 0191T. In the other words, if more than one devices have been inserted, then use code 0191T for the first device and 0376T for each additional device insertion {List separately in addition to code for primary procedure (0191T)}.
Hope this helps!

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