SuperCoder Posted Tue 26th of April, 2016 13:22:34 PM
WE BILLED 99213 25 (1 UNIT)
WE WILLED 62370 (1 UNIT) FOR ANALYSIS PUMP, REPROGRAM AND REFILL AND IT DENIED.
J3490 KD BUPIVICAINE, CLINDAMYCIN, PROPOFOL 1 UNIT AND IT DENIED.
WHAT SHOULD WE BE BILLING?
SuperCoder Answered Wed 27th of April, 2016 06:23:49 AM
You do not need to report an E/M code for this service as it is included in 62370. Please refer to the following link for details: https://www.supercoder.com/coding-newsletters/my-neurology-coding-alert/reader-question-code-62370-includes-em-work-147013-article
Also, most Medicare contractors do not pay separately for Bupivacaine (J3490) unless it is in an implanted infusion pump.
Hope this helps!