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 - agent00711   151 

re: billing medicare

278.01

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.



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