SCS billing/collections

[tmvguy03]

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I do SCS trials in my office and bill 2 units 63650. I’ve noticed that I’ve been collecting 150%, as if it was a bilateral procedure (I.e. mod 50). Is that right? Thanks!

 

[emd123]

I do SCS trials in my office and bill 2 units 63650. I’ve noticed that I’ve been collecting 150%, as if it was a bilateral procedure (I.e. mod 50). Is that right? Thanks!

Yes, that's what Medicare pays.

 

[painfree23]

do you bill for the programming?

 

[SommeRiver]

Yeah, Medicare pays 50% of the second lead right?

 

[Ferrismonk]

do you bill for the programming?

Fwiw, I believe in order to bill you must do the programming yourself. If a rep does the programming you can't bill for it.

 

[tmvguy03]

Thanks- I never bill for programming, that’s all done by the reps. I just didn’t know if everyone collects 150% on a 2 lead trial ( as if it was billed as 1 unit with a 50 modifier) or if 100% of each lead should be collected. There’s been other billing/collection issues for my clinic, just wanted to make sure the same thing wasn’t happening here.

 

[Timeoutofmind]

Was looking at my RVU sheet...
At the hospital where I am employed they put a 51 modifer on my battery code (63685), in addition, to a 51 modifier on the second lead

So I got 50% for the second lead
And then for the battery I got 2.6 RVU instead of 7.87 RVU

Is that right about the battery?

 

[BobBarker]

My hospital just adds them all up
It is around 20wrvu for an implant.

 

[paindoc007]

Yep, I get ~15 wrvu for trial, ~20 for implant

 

[painfree23]

do your trials in the clinic! i get like double that

 

[Ducttape]

How do you get more wrvu, based solely on location?!