Medical Billing Forum

Billing => Billing => : arnelo July 19, 2012, 03:42:34 AM

: Frequency Billing
: arnelo July 19, 2012, 03:42:34 AM

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.

: Re: Frequency Billing
: Michele July 19, 2012, 02:16:53 PM

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

: Re: Frequency Billing
: arnelo July 20, 2012, 02:42:46 PM

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

: Re: Frequency Billing
: Michele July 20, 2012, 10:26:48 PM

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.