Cardiac Implants on Inpatient Part B

kay.larsen@ah.orgkay.larsen@ah.org
in BILLING AND CLAIMS

We keep getting a missing procedure edit on Mcare claims because implant can be billed but not the procedure. How do we get past this edit?

Example of HCPCS Codes triggering missing procedure: C1760, C1761 & C1854. All the corresponding procedures are dropping off the claim as 0481 revenue code is not allowed on Inpatient Part B claims.

Thanks!

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