David Posted Tue 01st of May, 2012 15:35:58 PM
We are getting rejected by Medicare for the code 43999 for Lap Band Adjustment because we have no revenue code to attach to it. I looked extensivly for 2 days and can not locate it Please help us
SuperCoder Answered Wed 02nd of May, 2012 07:26:56 AM
Revenue codes only apply to providers who bill these services (like gastric band adjustment) to the fiscal intermediary or Part A MAC. Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part A MAC.
LCD for 43999 suggests that "Revenue code not applicable".
When the service is performed in hospital OR, you can try with rev. code 0360 (Operating Room Services - General).