tci Medicare Compliance & Reimbursement - 2010 Issue 20

Reader Questions: Medicare Won't Cover Trays

Question: How do I code products like laceration trays for minor wounds, suture trays, facet tray, lumbar puncture tray, etc.?Answer: Some private payers may pay for trays with either the HCPCS level II code (A4550, Surgical trays) or the generic CPT supply code (99070, Supplies and materials [except spectacles], provided by the physician over and above those usually included with the office visit or other services rendered [List drugs, trays, supplies, or materials provided]). HCPCS Level II 2010 does not contain specific codes for each tray type. For insurers that accept the CPT miscellaneous supply code 99070, include...

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