Coding > Coding

coding help

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sls:
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

Michele:
Hard to tell without more info, but usually surgical trays and supplies are considered included with the other services.

Michele

midwifebiller:
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

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