Our office is having many discussions regarding PRP injections.
I have read an AAOS document, dated 8/2010, that states that it should not be reported in conjunction with another procedure, however it does not come up as bundled when used with codes such as 29888(when I use our CCI edit program). In fact, the only codes that are specified as not billable w/PRP are 20550, 20551, 20600-20610,20926, 76942, 77002, 77012, 77021, 86965.
At this point we are having the pt sign a waiver & pay up front as there is no insurance company that will pay for it.
With the consensus out there being that it is to be billed seperately only, I am concerned that we are opening ourselves to legal problems when reported with surgical procedures, even tho we have the pt sign a waiver.
Any thoughts or opinions?
I have read an AAOS document, dated 8/2010, that states that it should not be reported in conjunction with another procedure, however it does not come up as bundled when used with codes such as 29888(when I use our CCI edit program). In fact, the only codes that are specified as not billable w/PRP are 20550, 20551, 20600-20610,20926, 76942, 77002, 77012, 77021, 86965.
At this point we are having the pt sign a waiver & pay up front as there is no insurance company that will pay for it.
With the consensus out there being that it is to be billed seperately only, I am concerned that we are opening ourselves to legal problems when reported with surgical procedures, even tho we have the pt sign a waiver.
Any thoughts or opinions?