SCS Billing Private Insurance

[Pacman27]

Need some help for in office billing of SCS Trial

I had an Aetna patient and did an in office trial. We got the auth to do the 63650 x 2 and the L8680 x16 per the auth dept from Boston

Does anyone know how to bill this

This is the advice I got from the rep but wanted to get some more feedback

63650 1U
63650 1U Modifier 51
L8680 8 Units
L8680 8 Units Modifier 76


Thought or advice is greatly appreciated, first trial since fellowship and hoping to get paid something for it


Thanks

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[emd123]

If you got the auth for it, then pretty much as you listed it, I think: "63650 x 2 and the L8680 x16". Plus the two programming codes

Medicare on the other hand is only 63650 (and programming I think)

 

[bedrock]

how many of you charge the programming codes?

what my rep said was that you needed a lot of extra documentation for that, and could get dinged for fraud

 

[Pacman27]

If you got the auth for it, then pretty much as you listed it, I think: "63650 x 2 and the L8680 x16". Plus the two programming codes

Medicare on the other hand is only 63650 (and programming I think)

SO you think the Modifiers above are okay

Thanks

 

[olafa]

SO you think the Modifiers above are okay

Thanks

THERE ARE THREE PORGRAMMING CODE-
95971 SIMPLE
95972 COMPLEX
95973 COMPLEX 1 HOUR+

 

[miamidoc2b]

how many of you charge the programming codes?

what my rep said was that you needed a lot of extra documentation for that, and could get dinged for fraud

did the rep specify what kind of documentation?