Frequency Billing

[arnelo]

Hello,

Does anyone knows on how many times can a participating provider on medical group can bill medicare for EKG,Anoscopy ,Spirometry , and Ear Lavage in a month? Does medicare reimburse  procedure for Ear Lavage , Spirometry and anoscopy? Appreaciate your help.

[Michele]

I would recommend that you search the CPT codes for those services in the LCD's and NCD's. 

[arnelo]

 Does anyone know why some of the procedure is not showing on LCD and NCD but it shows on  physician fee schedule? Thanks

[Michele]

If there isn't a document pertaining to that cpt then it won't come up in the LCD/NCD.  If you aren't finding anything you can always call Medicare and ask the customer service rep to help you search the LCD/NCD.  Sometimes they will be not so cooperative but I've actually had good luck and found them to be helpful.