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Surgcial tray vs 62270

SuperCoder Posted Mon 28th of December, 2009 06:13:52 AM

For neurology when I bill proc 62270 +a4550 , the carriers will not pay for a4550 stating non covered on the cci it states bill with a modifier what modifier do I bill.

SuperCoder Answered Mon 28th of December, 2009 06:15:02 AM

Appropriate billing for supplies depends on your payer. Medicare allows local carriers jurisdiction in this case, and some Medicare payers will not reimburse separately for Surgical trays. Of those payers who will reimburse for the supplies (Medicare and private), some specify that the provider bill using A4550 (Surgical trays), while others prefer 99070.
But, you won't be guaranteed a payment. Check with your payer for its guidelines and, in either case, attach an invoice for the tray so the payer is aware of the cost.

Lisa Answered Sun 31st of January, 2010 04:35:18 AM

Very very few carriers pay for trays anymore and it isn't listed in the federal register with a rvu so I think it would be very hard to get covered

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