Author Topic: Pain Mgmt-- Surgical trays  (Read 936 times)

prhodes

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Pain Mgmt-- Surgical trays
« on: December 24, 2014, 01:57:09 AM »
Hi,
I was given the task of finding out if we can charge for surgical trays for office surgical procedures ?   This is pain management practice - we do lots of Auto claims.  I believe the answer is no but I am not sure.   I know Medicare will not pay for Surgical  trays with POS office -11 - but  will pay for out patient  facility - Sx Center or hospital.   Sorry this is brand new specialty  for me.  I was informed by my practice manager that we can charge for surgical tray for the Auto carriers and that they should pay.  If this is correct  then what code do we need to use.  Also what would you recommend  for coding books  or electronic  coding software- I have 4 providers - Chiropractic  - DO = Physical Medicine - Pain Management- Neurology -  3 offices- I still need to get everyone trained for ICD 10  so we can be ready in Oct-  for the transition . Any suggestion on how to train providers on what they need to know - example  documentation - codes.     All the providers think that ICD 10 will be delayed again and the just laugh.   They keep telling me that they are to busy-- I guess I will have to start talking money -   It seems like when we tell them this will affect your bottom line - then  they will stop and pay attention.
Just inherited a brand new position  -and took over someone  mess - Just give me my cape ....and  call me the clean up man..   Sorry for the vent

 Happy holidays to everyone ..and lots of success and happiness in the New Year
Pat


kristin

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Re: Pain Mgmt-- Surgical trays
« Reply #1 on: December 24, 2014, 09:43:50 AM »
Hi Pat-

The surgical tray code I use is A4550. Take a look at it, and see if it works for your needs. While you can't bill it to Medicare in an office setting as you say, there are a few commercial insurances that will allow and pay for the code. BCBS is one in my area, for example.

As for ICD-10 training, etc...what I have done to prepare was to make sure my office's software was upgraded to include the ICD-10 codes, purchased the Optum ICD-10 Mappings book, then figured out what the top 50 dx codes our office billed to put on a cheat-sheet if needed, and converted all the dx codes on our superbills over to ICD-10, for future use. As we get closer to the time of the conversion(if it happens, which I am still doubtful about at times), I will educate my doctor on the most used codes for our office. The provider I work for is very thorough with her documentation already, but I have explained to her the concept of initial, subsequent, sequelae. Here is a little info about what doctors need to be aware of:

http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10-News-Documentaton-and-ICD-10%5B1%5D.pdf