tci General Surgery Coding Alert - 2007 Issue 6

Reader Question: Placing Pump Won't Pay

Question: We have just started billing for the OnQ pain pump. Medicare is denying all of our claims. We found an article in the June 2006 General Surgery Coding Alert stating that we should not expect to get paid for the OnQ pain pump because we cannot charge separately for pump placement. Do you have any new information on the pain pump or where we can find additional information? North Carolina Subscriber Answer: When you can demonstrate medical necessity, Medicare will cover the cost of supplies for the OnQ pump. The local coverage determination (LCD) for the Part B...

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