KMCFADYEN
Expert
Is anyone out there coding/billing for Clarifix in office?
We are new to this product and Stryker just bought out the company that created it in April
We have spoken to the rep and the reimbursement specialist but there seems to be confusion as to how to appropriately code this
It is for cryoablation of intranasal nerves for chronic rhinitis
We have been told to use 30117 but CPT states 30117 is for excision OR destruction of intranasal lesions
-a lesion and nerve are not the same
The only more appropriate code I can find is 30999
We have also been told to bill it times 2 if 2 nerves were ablated but the payers in our region will either not pay it or only pay as 1 unit; we have had to bill as 2 line items
The reimbursement specialist then told us to bill it with modifier 51 on the second line
I need some input please?
We are new to this product and Stryker just bought out the company that created it in April
We have spoken to the rep and the reimbursement specialist but there seems to be confusion as to how to appropriately code this
It is for cryoablation of intranasal nerves for chronic rhinitis
We have been told to use 30117 but CPT states 30117 is for excision OR destruction of intranasal lesions
-a lesion and nerve are not the same
The only more appropriate code I can find is 30999
We have also been told to bill it times 2 if 2 nerves were ablated but the payers in our region will either not pay it or only pay as 1 unit; we have had to bill as 2 line items
The reimbursement specialist then told us to bill it with modifier 51 on the second line
I need some input please?