Blackhorse Posted Sun 31st of December, 2017 22:47:57 PM
Anthem Blue Cross will no longer reimburse for intra-articular injections of hyaluronan Injections to treat osteoarthritis of the knee after December 1, 2017. The Anthem Blue Cross notice states that "intra-articular injections of hyaluronan are considered not medically necessary for the treatment of pain due to osteoarthritis of the knee and all other knee conditions." This is a national Anthem Blue Cross policy.
My question is what if a patient requests hyaluronan injection because he thinks it's very helpful to his knee pain. How do we bill it?
SuperCoder Answered Tue 02nd of January, 2018 01:43:05 AM
In such a case when insurance does not cover a particular procedure, then provider should bill that procedure to the patient and not the insurance. It is the patient’s responsibility to pay for those procedures which are not covered by the insurance.