We have taken the advice of Bill Sarraille. We bill our normal carotid codes
electronically. We then bill the color flow code on paper with a note that
states that we know the claim will not be paid by the carrier but we are
billing the claim to preserve our appeal rights. The color code is actually
93325. We have several decisions on this issue, but coincidentally the
largest is in your home state of Florida. I think I'll have to fax it .We
don't have it on disk.
Robert T Kane
----- Original Message -----
From: "Bill Schroedter" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, February 02, 2001 10:06 AM
Subject: Re: fee collections
> In a message dated 2/1/01 4:19:32 PM Eastern Standard Time,
> [log in to unmask] writes:
> On the topic of color flow, we recieved another favorable ALJ decision
> awarding payment for color with vascular studies this week. The studies
> from 1997 and 1998, which unfortunately speaks to how long it can take to
> get through this kind of appeal, but nevertheless we keep winning. In
> believe the code was rewritten and reflects a 'to be billed with
> echocardiography' addition to cpt definition but we are appealing these
> also. The last major decision we recieved Judge Sullivan out of Falls
> actually unbundled the code when it was listed in the CCI we recieved
> $180,000 in this decision alone. He thought it unjust that the same
> technologist with the same type of registry on the same machine would be
> denied payment.
> If you would a copy of this latest decision let me know.
> Robert T Kane
> Phoenix Cardiovascular
> Doylestown PA >>
> So Bob, Let me understand this, for example you do a carotid and bill for
> 93880 and a 93225, get denied and then appeal it OR do you just bill 93880
> and then go appeal for the 93225?