jwhitten
Contributor
I have a question in regards to the billing for a Percutaneous Stimulator (for a trial). We are interested in starting them for our office, but are being advised by a Drug rep to bill out what seems to be way to high and too good to be true reimbursement. Our office plans to bill out for the leads that go with the percutaneous stimulator as well.
This is what we are being told to bill:
64555- Percutaneous implantation 1 unit to bill.
L8680- Implantable neurostimulator electrode each. 16 units to bill (since billed per lead).
The description of procedure for us is: Placement of peripheral nerve stimulator lead times two. (which would equal the 16 leads since each lead has 8).
I had been advised at one point to bill out the 63650 instead of the 64555 and not bill out for the leads (L8680), but I am not sure that this is correct either.
Reimbursement on this seems very be high since we are doing this in our office and almost seems to good to be true. I want to make sure before we accept and start billing for a lot of these, that we do not get into trouble for the codes being billed. Drug reps tend to make the deal sound better than what it truly is for business so I'm a bit skeptical.
I hope that you will be able to have better insight on this than I do. Your time and help in this matter is greatly appreciated.
Thanks.
This is what we are being told to bill:
64555- Percutaneous implantation 1 unit to bill.
L8680- Implantable neurostimulator electrode each. 16 units to bill (since billed per lead).
The description of procedure for us is: Placement of peripheral nerve stimulator lead times two. (which would equal the 16 leads since each lead has 8).
I had been advised at one point to bill out the 63650 instead of the 64555 and not bill out for the leads (L8680), but I am not sure that this is correct either.
Reimbursement on this seems very be high since we are doing this in our office and almost seems to good to be true. I want to make sure before we accept and start billing for a lot of these, that we do not get into trouble for the codes being billed. Drug reps tend to make the deal sound better than what it truly is for business so I'm a bit skeptical.
I hope that you will be able to have better insight on this than I do. Your time and help in this matter is greatly appreciated.
Thanks.