tci Part B Insider - 2010 Issue 37

Part B Revenue Booster: 69990: Bill Operating Scope Once Per Session - Not Per Level

Medicare is finicky about reimbursing operating scope, so be carefulJust because your surgeon documents using a "microscope," you aren't always justified in reporting 69990. Medicare's guidelines are written in stone, and practices should be careful to follow them to the letter.You may have noticed that your CPT manual lists instructions for when to report +69990 (Microsurgical techniques, requiring use of operating microscope [list separately in addition to code for primary procedure]) in a note preceding the code descriptor.Medicare payers, however, allow you to report 69990 in far fewer instances. For example, some private payers may reimburse...

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