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Posted By Sandra on 06-07-2005, 16:23:00 in Urology
WE JUST STARTED DOING CTS IN OUR OFFICE. I HAVE HEARD DIFFERENT VIEWS ON
WHETHER OR NOT WE CAN CHARGE FOR THE IV CONTRAST (Q9950). SOME SAY IT IS
INCLUDED WITH THE PROCEDURE OTHERS SAY WE CAN CHARGE FOR IT. ALSO, WE USE
ORAL CONTRAST, CAN WE CHARGE FOR THAT AND WHAT IS THAT CODE.

THANKS
Comments (9)
Posted By Catherine on 06-14-2005, 00:30:00
HI,

I have been researching this in southern ca for the last 3 days - no one at
Medicare can tell me what is the correct code - they say A4646 is still a
valid code, although the latest EOB said it is an invalid code! They told me the
new code was Q2013, but that is another invalid code! I will use the Q
code that you are using, and see if that works in CA

The A9525 is no longer a valid code.

Thanks so much - this has helped alot!

Catherine
Posted By Ann on 06-13-2005, 12:26:00
We use any that apply on the list. Remember you are coding for the use
of the contrast- if you use any codes not listed as approved, they will
deny. We have a question sheet our x-ray tech goes over with each pt,
high blood pressure, diabetes, allergies etc... We code off of that
sheet. This way we have proof of why we billed the contrast. If they
have no reason for the use of the contrast, we write these off and keep
a log of it. We do not bill Medicare if we know they will not pay before
hand. Hope this helps...Ann
Posted By Judy on 06-13-2005, 11:56:00
Ann,
I was able to locate those under Medical Policies. However, it appears that they only show one diagnosis that is stand alone urological and that is the 593.9. All the others must also have heart failure and hypertension. Is that what you saw also? What dx are you guys using?
Thanks again!
Judy
Posted By Ann on 06-13-2005, 11:30:00
Judy,
I was able to go under the Palmetto website, South Carolina and pull up
the LCD for A4646 under Medical Policy - I would assume -(hopefully)-
this would be the same dx codes you would cont' to use if they have
changed the procedure code. If you are unable to pull the dx codes, let
me know and I will fax you what I pulled.
Ann

Posted By Judy on 06-10-2005, 19:16:00
I spoke to soon. I am in South Carolina. I'm afraid I do not know what the Trailblazer website is. I did go on Palmetto GBA's website, but I didn't see anything under South Carolina like you are talking about.
Thanks again!
Judy
Posted By Judy on 06-10-2005, 19:05:00
Thanks so much! Have a great weekend.
Judy
Posted By Ann on 06-10-2005, 18:32:00
Go to the Trailblazer website, click on your state, then click on LCD
(on the right), click on "L" and Low Osmolar Contrast - this will give
you all of Medicare's approved Dx's
Posted By Judy on 06-10-2005, 16:37:00
Do you happen to have or know where I can locate a list of approved diagnosis for CT scans?
Thanks!

Judy
Posted By Judy on 06-08-2005, 11:44:00
I would be very interested in this also. I have asked the question before but never had a response. We started doing CT scans last month. We have been directed to A9525 as a code for the dye. Hopefully someone out there can help with this question.
Good Luck!
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