Forum - Questions & Answers

Jun 22nd, 2010 - coder007 5 

Simplicity probe

When the physician does Radio-Frequency Ablation (RFA) can he bill the patient for the "Neurotherm simplicity probe" when it is not covered by insurance or is this inclusive to the procedure?

Any help would be great!!!

Jun 22nd, 2010 -

are you talking about the probe itself?

I'll assume you are a pain clinc and do your own procedures in office and are not talking about the physician doing the procedure at the hospital (where the hospital bills for the supplies.) In general the parts are covered with the procedure. If you want to use something special that you definitelty know is not covered by the insurance, you need to look at your contract to see if you can bill the patient for non-covered services and if so I would get a signed letter from the patient that they agree to pay. For Medicare you need to use the official ABN form if this is a non-covered Medicare service.



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