Re: Who pays for surgical debridement?

[RRS2000]

You will need to check the specific codes against the consolidated billing Helpfile to determine if it is excluded from consolidated billing.  If it is, then the provider of the service can bill it to Part B.  Go to http://www.cms.hhs.gov/manuals/pm_trans/A02_118a.zip - this is the helpfile that is currently available (the helpfile for 2004 is not available yet.)  Also, codes added for 2004 can be found at http://www.cms.hhs.gov/medlearn/2004snfannualupdate.asp

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Who pays for surgical debridement? 
Date: 4/8/04 7:51:17 AM Pacific Standard Time
From: [EMAIL PROTECTED]
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> -----Original Message-----
>From:   Vogt, Kathy 
>Sent:   Thursday, April 08, 2004 8:13 AM
>To:   '[EMAIL PROTECTED]'
>Subject:  
>
>I had a med a pt who is going to a wound clinic in a hospital.  We have
>recieved bill for OR minor which was for surgical debridement, lab costs,
>and clinic charges.  Since surgical debridement is beyond our scope of
>practice in the nursing facility, would this not be able to be billed by
>the hospital.  I don't believe this should have been billed to us, should
>it?
>
>
>
>Kathy Vogt
>St Mary's Manor
>Blue Springs, MO