tci Part B Insider - 2003 Issue 12

Coverage: Medicare Stingy When It Comes to Stent Bundling

The Food & Drug Administra-tion only just approved the first drug-eluting stent from Johnson & Johnson on April 24, but already the National Correct Coding Initiative is full of nonmutually exclusive edits targeting this device. HCPCS G0290 and G0291 , for transcatheter placement of a drug-eluting stent, are bundled with a number of other codes."Before it even has been picked up and used a lot," Medicare is already putting restrictions on stent billing, complains consultant Patricia McKinnon with Berdon Healthcare in Jericho, N.Y. "They give with one hand and take away with the other," she adds...

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