Hydraulic repairs
Rick Stapleton
Description
Collection
Title:
Hydraulic repairs
Creator:
Rick Stapleton
Date:
8/25/2010
Text:
Good morning List-serve,
I would like to ask those who have been successful in billing BCBS for a
Mauch SNS repair, what billing codes and documentation did you use? We
billed it out using L7510 small parts and L7520 for labor and got paid
about 5% of what we billed. We were told that the L7510 (small parts) is
for things under $100 and we shouldn't have used that code. We were told
to bill it using L7520 but that is pure labor and they have caps on how
much labor can be charged per billing event, which will not cover the
cost of the repair. I can bill it using L5999 but suspect that they will
ask for an invoice and our experience with that is that they pay you
less than your invoice. What is the best method to bill?
Thanks in advance,
Rick, CPO
I would like to ask those who have been successful in billing BCBS for a
Mauch SNS repair, what billing codes and documentation did you use? We
billed it out using L7510 small parts and L7520 for labor and got paid
about 5% of what we billed. We were told that the L7510 (small parts) is
for things under $100 and we shouldn't have used that code. We were told
to bill it using L7520 but that is pure labor and they have caps on how
much labor can be charged per billing event, which will not cover the
cost of the repair. I can bill it using L5999 but suspect that they will
ask for an invoice and our experience with that is that they pay you
less than your invoice. What is the best method to bill?
Thanks in advance,
Rick, CPO
Citation
Rick Stapleton, “Hydraulic repairs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 8, 2024, https://library.drfop.org/items/show/231709.
