Dr. Conti,
Based on my previously stated experience with the Medicare
appeals system I believe your statement is incorrect.These appeals were made to
a Federal Judge in the Social Security system who ruled color could be paid.
Although these rulings were just recently adjudicated and were three years in
the system, we will continue to appeal even though the color definition has
changed. As I had mentioned previously Judge Sullivan saw the inequity in the
reimbursement and, by his order, unbundled the Correct Coding Initiative. Since
the inequity still exists we will continue to appeal until it the doesn't exist
anymore. In order to appeal you must use a code that most accurately describes
the service you are performing thus we bill 93325 (under the conditions
previously stated).
It would be nice to start a movement where everyone would
appeal this issue. If this happened, there is no doubt from my
experience that some action would result. The Carriers would have to respond to
all of the appeals and the ALJ's, who are logical people, would continue to see
the economic discrimination. As a service ot anyone who desires, we are willing
to share our experience and the aforementioned decisions.
The other fellow.
Robert T Kane
Phoenix Cardiovascular
Doylestown PA
----- Original Message -----
Sent: Monday, February 05, 2001 3:16
PM
Subject: Re: CPT coding for vascular
testing
There is no code for color flow in the vascular setting. The code
the other fellow used is for color flow to compliment echocardiography.
Does anyone have a
list of the best CPT codes to use for each of the various
studies done in
a typical Vascular Laboratory? The recent discussion
regarding
billing for color flow exams has resulted in some confusion.
Someone who
knows and posts these codes would be providing a great service
to the
rest of us. Thanks.
Sandy Olson, RVT
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