09/11/12 Ask-the-Contractor Teleconference (ACT ... - WPS Medicare

Natalie Murphy:
Dr. Boren:
Beth:
Natalie Murphy:
Beth:
Natalie Murphy:
Dr. Boren:
Natalie Murphy:
Mary Muchow:
Natalie Murphy:
Dr. Boren:
Mary Muchow:
Natalie Murphy:
Mary Muchow:
Natalie Murphy:
Mary Muchow:
Natalie Murphy:
Mary Muchow:
Natalie Murphy:
And that my question was when it’s done with, say, another procedure, I
know the other http://www.wpsmedicare.com
procedure is 90 days, but we really able to bill that VAD
visit even though it’s bumping up against the other 90-day global Do you
see what I mean
I know what you mean but…
Dr. Boren, this is Beth. I have a CPT book. And under code 93750, it does
say do not report 93750 in conjunction with 33975, 33976, 33979…
That’s insertion.
OK. So is that not what you’re saying
No. We have already put it in. And then every day after, we have to visit
them, interrogate the device in person, analyze the machine to see what it’s
doing and then we bill for that.
I will talk to the head of CCI and find out his thoughts on that. Because I have
a problem because this to me should be part of the service. But I will see if it
he looks at it the same way.
And to me, this right here, this code is a procedure and not a hospital visit.
That’s why I wondered about the modifier 79 saying it’s unrelated to the aortic
valve procedure that was done maybe at the same time. Since it’s not an E/M
code, you can’t put the 24 on this. Do you see what I mean
I would suggest that this should be something that we’d want to take a look at
and follow up on.
OK.
And have her pass that information, please.
Can you provide your contact information for us, please Perhaps, a first
name and a telephone number.
Yes. And what – how do I do that I mean, just give it to you now
Yes. If you would unless you’re in objection to doing so, you could e-mail it...
Oh, no.
…to us later.
No.
OK.
My name is Natalie.
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