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New Sedative Closer to FDA Approval

The FDA's Advisory Committee on Anesthetic and Life Support Drugs last week recommended the approval of the IV sedative fospropofol disodium (Aquava...

Court Paves Way for Anti-markup Pathology Crackdown

CMS has been given the green light to enforce its anti-markup rule barring physicians from billing for off-site anatomic pathology services after a ...

The Incisionless Future of Bariatric Surgery

A minimally invasive bariatric procedure for patients who haven't found success with other weight loss surgeries is gaining ground in the United Sta...

Home > Archive > April 2006
Coding & Billing
Some Cases Just Aren't Worth Doing
Judith L. English

Judith L. English Just because Medicare says you can do a procedure doesn't mean you should. Many money-losing cases are spread across the spectrum of specialties on the ASC approved procedures list (see "Choose Your Cases Wisely"). Unless you know your case costs or have a carveout, you won't know, for example, that CPT 29888, ACL reconstruction, is a procedure you're bound to lose money on: Screws, washers and anchors alone can cost more than $600. Medicare's reimbursement: $510.

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Categories: Code/Bill/Reimburse, General Surgery, GYN/Urology, Ophthalmology, Orthopedics
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