For Medicare hospital outpatients and Medicaid the hospital does not receive a
reimbursement for 76937. It should be billed but the reimbursement is what
they called bundled with the VAD insertion. However other payers may provide
some minimal payment for the machine
kathy
________________________________
From: [EMAIL PROTECTED] on behalf of [EMAIL PROTECTED]
Sent: Tue 2/7/2006 10:47 AM
To: Monica Sorg
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: Reimbursement
Monica,
I have been investigating this issue as well. After many hours of research and
hunting I sat down with the billing specialist at our hospital. They have a
program by "3M" that helps to discern which charges can and cannot be used.
For outpatient prospective payment HCPC's code 76937 this is what it states:
"Use of a handheld device to ease vascular access without evaluation of
potential access sites, documentation of selected vessel patency, concurrent
real-time ultrasound visualization of needle entry and permanent recording is
NOT reportable using code 76937."
Lorelle Wuerz BS, RN
"Monica Sorg" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED]
02/07/2006 11:40 AM
To
[EMAIL PROTECTED]
cc
Subject
Reimbursement
I'm sure this has been discussed in detail at some point, but I can't recall.
I am ignorant when it comes to reimbursement issues. I realize that the nurses
putting in the PICCs/MLs in LTC don't always have ultrasounds, but for those
who do and can produce hard copy images of the vessel being cannulated, can the
facilities bill insurance companies and medicare? I was thinking about this
issue last night and thought the same thing you did, Leigh Ann. The political
route may be necessary. I've always wanted to bring a cause before congress :
)
Monica Sorg, RN CRNI
Infusion Nurse Specialist
University of Louisville Hospital
Louisville, KY
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