Neurosurgery Coding Alert
Dont Forget to Bill for Supplies
If a neurosurgeon supplies the pump and catheter for the implantation (or subsequent replacement), he or she may gain reimbursement through the local durable medical equipment regional carrier (DMERC) by using the applicable HCPCS E code:
Note: To find a DMERC number, visit the following Web sites: Region B (Midwest): www.astar-federal.com/anthem/affiliates/adminastar/dmerc/index.html Region C (South): www.pgba.com Region D (West): www.cignamedicare.com/dmerc.
Region A (Northeast): www.uhc.com
The drugs/medication to be administered by the pump is billed using the HCPCS J code appropriate to the drug and dosage (e.g., J0476, Injection, baclofen, 50 mcg for intrathecal trial).
Neurosurgery Coding Alert
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