Author Topic: Can I bill for Disposables and E&M wound care visit  (Read 1663 times)

jmach

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Can I bill for Disposables and E&M wound care visit
« on: March 17, 2008, 06:47:56 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.
« Last Edit: March 17, 2008, 10:23:31 PM by jmach »

gelianamber

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Re: Can I bill for Disposables and E&M wound care visit
« Reply #1 on: March 18, 2008, 02:27:21 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
Good day!!!

jmach

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Re: Can I bill for Disposables and E&M wound care visit
« Reply #2 on: March 18, 2008, 11:08:19 AM »
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?    :-\

gelianamber

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Re: Can I bill for Disposables and E&M wound care visit
« Reply #3 on: March 18, 2008, 09:00:03 PM »
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.
Good day!!!