Outpatient Facility Coding Alert - 2000 Issue 3
Reader Question: IVC Filter
Subscribe or sign in to view the full article.
Article Overview
This reader Q&A discusses a Medicare billing problem involving inferior vena cava filter placement and explains the general coding and claim-processing issues that can affect whether physician payment is made separately from facility payment. It is relevant to medical coders, billing staff, and physician practices that handle interventional radiology or surgery-related claims and want to understand the broad topics involved in reporting the service and associated professional component.
Why This Topic Matters
Correctly understanding how the procedure is reported and how the radiology component is handled can affect whether the physician receives payment under Medicare. The article is useful for practices trying to identify why a claim may be paid to one provider type but not another.
What You Will Learn
- The general billing components involved in IVC filter placement claims
- How physician and radiology reporting may differ on the same service
- Why Medicare payment may be affected by claim submission details
- What broad documentation elements are relevant to professional component reporting
Who Should Read This
- Medical coders
- Billing specialists
- Physician office staff
- Interventional radiology practices
- Surgical practices
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com