Forum - Questions & Answers

Jul 17th, 2009 - codes

HCPCS code c1300

DOES ANYONE KNOW THE PRICE, MODIFIERS AND HOW TO BILL FOR THE FOLLOWING CODES DONE BY A PLASTIC SURGEON WHO USED THE HOSPITAL OUTPATIENT FACILITY:
99213 - EST PT VISIT, 99183 HBO PHYSICIAN IN ATTENDANCE, C1300 HBO 4 x 30 MINUTES AND DOES THE PHYSICIAN ACTUALLY BILL FOR OR REPORT THE C1300 CODE TO INS? THANKS

Jul 17th, 2009 - nmaguire   2,606 

Hbo

The diagnosis code(s) must best describe the patient's condition for which the service was performed (ex, non-healing wound).Claims for CPT code 99183 are payable under Medicare Part B in the following places of service: office (11), inpatient hospital (21), hospital outpatient hospital (22) and independent clinic (49).According to CPT coding guidelines, Evaluation and Management services and/or procedures (e.g., wound debridement) provided in a hyperbaric oxygen treatment facility in conjunction with a hyperbaric oxygen therapy session should be reported separately.
the C code is not billed by the physician, it is billed by the hospital only. The E/M reimbursement will be based on locality and site of service.



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