Ob-Gyn Coding Alert

Question: I know that very few payers reimburse at all for S2900 (Surgical techniques requiring use of robotic surgical system [list separately in addition to code for primary procedure]). However, could a “robotic surgery surcharge” be implemented using this code, and then billed to the patient if the insurance denies it as a non-covered service? We are beginning to report S2900 along with 58662 (usually for endometriosis removal via laparoscopy). I know that most payers won’t pay for it, but can it then be billed to the patient. If so, how? Our physician underwent significant additional training to use the DaVinci, and she is now able to perform several surgical services with an even higher degree of success, so there seems to be some justification to a DaVinci surcharge.

Codify Subscriber

Answer: Use of the robot during surgery is not a procedure. It is use of surgical tool, which is why the surgeon, who is already being paid for the laparoscopic approach, will not be paid for using the robot. Use of the robot is not a non-covered service, it is an inclusive service. You will need to check with your payers with regard to charging your patient for things that are considered inclusive of the surgical technique which you have been paid for.