ljhaley@gmail.com
Networker
Hello everyone!
Just met iflow reps for the On-Q pain pump. They are pushing to add this pain mgmt device to our surgeries, LAVH, etc. Device code is A4306, charging for the "placement of the catheters has to be an unlisted CPT 49999, with addition of 59 mod" to get paid for it. Being unlisted it will have to go paper with major documentation, etc. I'm fine with that but:
I went to my local NY Medicare carrier (NGS)- and regardless of Iflow propaganda- My NY Medicare says its NOT reimbursable as a separate charge, and will be denied inclusive to the global surgery. I also see that my commercial carriers treat it the same way for all their MAP's. Now I wonder if its even worth bringing this on board!
Has ANYONE out there gotten paid for the use of the On-Q pain pump from MCR or Any Commercial payors? especially NY billers? THANK YOU !!!!
Just met iflow reps for the On-Q pain pump. They are pushing to add this pain mgmt device to our surgeries, LAVH, etc. Device code is A4306, charging for the "placement of the catheters has to be an unlisted CPT 49999, with addition of 59 mod" to get paid for it. Being unlisted it will have to go paper with major documentation, etc. I'm fine with that but:
I went to my local NY Medicare carrier (NGS)- and regardless of Iflow propaganda- My NY Medicare says its NOT reimbursable as a separate charge, and will be denied inclusive to the global surgery. I also see that my commercial carriers treat it the same way for all their MAP's. Now I wonder if its even worth bringing this on board!
Has ANYONE out there gotten paid for the use of the On-Q pain pump from MCR or Any Commercial payors? especially NY billers? THANK YOU !!!!