Medical Billing Forum

Coding => Coding => : sls February 08, 2011, 01:09:55 PM

: coding help
: sls February 08, 2011, 01:09:55 PM
we are billing for outpatient facility, we are getting denied by certain insurance for codes a4550 and a4649, does anyone know if any insurance cover these codes, if we need a specific modifier.  thanks Sue
: Re: coding help
: Michele February 08, 2011, 02:18:32 PM
Hard to tell without more info, but usually surgical trays and supplies are considered included with the other services.

Michele
: Re: coding help
: midwifebiller February 10, 2011, 11:03:52 PM
I have used both of these codes successfully, also billing for an outpatient facility.  You will need to send a list of the supplies you are including in this code to the insurance company with a letter of explanation.  Not all will reimburse the code--even with the list and letter--but many will.

~Kelli