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68899

Daniel y Posted Fri 21st of October, 2016 12:18:48 PM
Hello, Can we bill 68899 as facility setting? Thank you.
SuperCoder Answered Mon 24th of October, 2016 08:08:52 AM

Hi,

CPT code 68899 can be billed as facility setting and professional setting because the hospital facility also provides their services along with the surgeon/provider.

 

Daniel y Posted Thu 15th of December, 2016 10:13:36 AM
Hello, I kept getting denials. Denial reason code is CO16. Medicare is denying both Facility and Professional claims. I sent claim with description as Unlisted Lacrimal System. Is there anything else I have to do to get reimbursement? Thank you.
SuperCoder Answered Fri 16th of December, 2016 06:40:38 AM

Since, this is an unlisted code. Unlisted codes spur automatic review, clear and accurate documentation of the procedure should accompany the claim.

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