Forum - Questions & Answers
Jun 16th, 2011 - madbiller3
4th and 5th surgical procedures
Can you please tell us what is the standard form of multiple surgical reimbursements. It's our understanding that the following applies, can you please clarify. Thank you
bilateral 150 percent
1st surgical procedure 100 percent
2nd - 50 percent
3rd - 25 percent
4th and 5th - ????
Any help would be appreciated. We understand that value is based on our contracts. Thanks again
Jun 16th, 2011 - nmaguire 2,606
re: 4th and 5th surgical procedures
For Medicare it is 100% - 1st, then 50% for 2-5, then by report over 5