Forum - Questions & Answers
May 15th, 2013 - BONE 16
billing medicare
Hi how are you
i am looking for some help in billing this surgery to Medicare the patient is morbid obese and I wanted to know if there is a dx code I should use along with the surgery dx code 715.16 when billing the claim.
thanks in advance
May 15th, 2013 - dsteed 141
re: billing medicare
Be aware that Medicare has very strict guidelines for coverage of morbid obesity. That diagnosis alone will not be sufficient. There must be other co-morbidities reported and documented in the record. Check your MAC for coverage determinations for the procedure used.