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Trends in reimbursement from Commercial carriers when Implant Code L8699/C1762

Katrina Posted Wed 28th of February, 2018 12:16:29 PM
Is someone having any luck on reimbursement for L8699 and C1762 codes to commercial carriers, when performed out of network at ASC facility?
SuperCoder Answered Thu 01st of March, 2018 01:37:26 AM

As per OPPS fee schedule, the ASC payment Indicator for codes L8699 and C1762 is N1, which states, “Packaged service/item; no separate payment made”.

So, these codes (L8699 and C1762) would be considered a packaged service with other services performed on the billed date of service.

Do also check with your respective payer for reimbursement guidelines for both the codes.

 

Thank you.

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