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CPT CODE 38724

Natalie Posted Wed 13th of March, 2013 16:47:23 PM

MY DOCTOR BILLED FOR 38724 60240 38542, AS OUTPT, WE WERE PAID BY CARRIER, BUT THEN THEY RECOUPED $$ BACK ON CPT CODE 38724 STATING CODE NEEDS TO BE BILLED AS OUTPT, IS THIS CORRECT?

SuperCoder Answered Thu 14th of March, 2013 13:01:16 PM

38724=This code is not an ASC approved procedure. ( Medicare OPPS schedule)

According to Medicare's fee schedule, this has an OPSI code of C - inpatient procedure.

This is the reason they recouped money.

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