Outpatient Surgery Magazine

Marking Madness - April 2013 - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 35 of 157

OSM560-April_DIGITAL_Layout 1 4/5/13 2:28 PM Page 36 CODING & BILLING the only lenses for which Medicare lets ASCs charge patients the difference between what Medicare reimburses for use of a regular IOL ($150) and the actual lens cost. Medicare doesn't care what kind of IOL is placed in cataract procedures. If you implant a premium lens instead of a regular IOL, Medicare's reimbursement of $150 for the IOL is included in the payment of the cataract extraction procedure CPT codes (66984, 66982, etc.), as usual. Even though the physician used a different type of IOL, Medicare won't reimburse your center more for the use of a premium lens in the case. That is where billing the patient for the difference comes in — and the related compliance issues. 3 6 | O U T PAT I E N T S U R G E R Y M A G A Z I N E | A P R I L 2 013

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