Wiki Phototherapy billing

[gdicrocco]

We are trying to set up 96910 - phototherapy, for our provider-based derm practice. Can anyone tell me if this code should be billed on a UB or 1500 or split? Also, what rev codes are you using with this code?

 

[jek521]

Our office used a PUVA light so we billed 96912 on a CMS-1500 form. If the clinic owns the equipment, I would suggest billing on a CMS-1500 only.

Jen

 

[cchilva]

We are also a provider based derm practice. For 96910-photochemotherapy, this code should be billed on a 1500.

 

[hkatie]

A couple of reminders for your techs' documentation: http://www.medicarenhic.com/ne_prov/articles/photochemotherapy_0807.pdf

and

http://www.dermexchange.com/members/publications/_doc/DermCodingConsult_Spring_09.pdf (page 4)

 

[Tashia]

What if it is a facility that is providing the service and the services are billed on a UB04? What Rev codes are appropriate?

 

[Britt0385]

One of the providers in my office just started a baby on phototherapy yesterday.

I am unsure how to bill for this. I was trying to add the following to our new EMR system; CPT “procedure” code (E0202), Modifier (RR- rental), Place of Service Code (H-home)

How do I bill for this? Please let me know. Thanks!