Medical Billing Forum

Coding => Coding => : jmach March 17, 2008, 09:47:56 PM

: Can I bill for Disposables and E&M wound care visit
: jmach March 17, 2008, 09:47:56 PM

As an outpatient wound center located in an inpatient Rehab hospital, can we bill for disposables along with the E&M visit?

Example:  Patient comes into center needing wound care.  We open a box of dressing for the wound and provide and E&M visit.

Can we bill for the dressing (disposable)?  The dressing does have applicable HCPCS codes.

: Re: Can I bill for Disposables and E&M wound care visit
: gelianamber March 18, 2008, 05:27:21 AM

Base on my experience. When the patient just came in needing for wound care then you can bill the disposable dressing along with the E&M visit but be sure you have the supporting document that are needed in that procedure. ::) 8)

I hope it helps.....

Amber

: Re: Can I bill for Disposables and E&M wound care visit
: jmach March 18, 2008, 02:08:19 PM

Thanks for the info.  I do have another question... Would you have to apply a modifier -59 to the e&m visit in order to get reimbursed for the disposables?    :-\

: Re: Can I bill for Disposables and E&M wound care visit
: gelianamber March 19, 2008, 12:00:03 AM

You don`t have to use modifier because modifier 59 says it is a distinct procedural services wherein disposable is not a procedure it is supply used in the procedure.