Wiki PEG replacement in office setting

[labraddock]

We will be starting to schedule our simple PEG replacements in the office setting, CPT 43762. Could I get some feedback on what have been some of your experiences with reimbursement and denials with various carriers? Your help would be greatly appreciated! Thank you in advance.

 

[trish4560@snet.net]

We have just started doing them also, so no reimbursement feedback yet. We are doing the 43762 without an E/M

 

[CarlaA]

One of my providers, a NMP, just asked if we can do this in office. We are family practice and based on what I am reading in the description of the code and the forums it appears we can indeed, we are family practice. But my question is will a NP be reimbursed or does it have to be a physician????

Thank you

 

[daniel]

Depends. If there contracted with the insurance and work for your practice. Which I imagine they do.
So bill under NP for Medicare following insurances and others require the NP to be listed as the service provider but bill under the MD