Wiki bone cement

[debmorrison]

Hello,

I am hoping someone can answer a quick question for me, as I am not trained in ASC coding/billing and my manager posed this question to me....

Can implantable bone cement be billed in an ASC?

thanks much!!

 

[bethh05]

You can bill it, there is not a specific HCPCS, I used the L8699. Of course Medicare will not reimburse but some of the commercial carriers will. Some of them may request an invoice.

 

[ASC CODER]

Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)

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Effective: 01/01/2004


Official Notes:
CMS Device Code Definition - Implantable pins and/or screws that are used to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone. Screws oppose tissues via drilling as follows: soft tissue-to-bone, tendon-to-bone, or bone-to-bone fixation. Pins are inserted or drilled into bone, principally with the intent to facilitate stabilization or oppose bone-to-bone. This may include orthopedic plates with accompanying washers and nuts. This category also applies to synthetic bone substitutes that may be used to fill bony void or gaps (i.e., bone substitute implanted into a bony defect created from trauma or surgery).



c1713

taken from code correct