Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1309_part1_Layout 1 9/6/13 12:31 PM Page 39 CODING & BILLING ent to nipple/areola reconstruction is included in this code and not separately reported, according to the January 2013 CPT Assistant. Medicare Reimbursement for Capsulotomies, Capsulectomies and Implant Removal CPT Code ASC OPPS APC Multiple Discount 19328 $1,379.81 $2,458.99 0029 Yes 19342 $3,565.14 $4,562.00 0648 Yes 19370 $1,379.81 $2,458.99 0029 Yes 19371 $1,379.81 $2,458.99 0029 Yes Communicate with the payer Payers differ on the types of procedures they cover and how they want certain procedures reported. Be sure to get your breast procedures preauthorized in writing. Your request for pre-authorization should clearly and accurately describe the procedures you intend to perform. Coding accurately for breast reconstruction and revision can be a challenge, but with a clear understanding of coding guidelines, detailed and thorough documentation of the procedures and a pre-authorization process in place, your facility can get reimbursed its fair due for these procedures. OSM Mr. Rodriguez (drodriguez@coding network.com) is senior ambulatory surgery center coder and compliance auditor with The Coding Network. S E P T E M B E R 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 3 9

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