Wiki Coding for casting and supplies

[TADKINS]

When coding for casting in a doctor's office setting, (POS 11) is it appropriate to also add the supply charges? If so, should we us the HCPCS Q-codes e.g. Q4040, Q4012? or code 99070 ? Or would the supplies be bundled into the E/M or the procedure code for the cast application?

 

[ashlie09]

This has been discussed on this thread as well; so far appealing is the only appropriate response to receive payment.

https://www.aapc.com/discuss/threads/q4010.197189/?view=date#post-540814

 

[podcoder70]

When coding for casting in a doctor's office setting, (POS 11) is it appropriate to also add the supply charges? If so, should we us the HCPCS Q-codes e.g. Q4040, Q4012? or code 99070 ? Or would the supplies be bundled into the E/M or the procedure code for the cast application?

Medicare will, in general, pay for the casting supply as well as the application code, this is usually a Q code. Commercial plans, however, often want an A code for cast supplies.

 

[beckersu]

Medicare will, in general, pay for the casting supply as well as the application code, this is usually a Q code. Commercial plans, however, often want an A code for cast supplies.

What are the A codes you are referring too?

 

[KatieV7]

Medicare will, in general, pay for the casting supply as well as the application code, this is usually a Q code. Commercial plans, however, often want an A code for cast supplies.

I would also love to know what A codes you are referring too. I've never had an issue getting Q codes paid by commercial plans, until this year. I was unaware there may be different codes.

 

[amyjph]

Have the folks looking for A codes never looked at a HCPCS Level II book?
I suggest starting there. (hint* try the A45__ area).