Can S2900 be billed to Medicare?

Can S2900 be billed to Medicare?

S2900 is the CPT code for MAKO navigation system which is used for total hip an knee arthroplasties. Medicare will not accept the usage of this code.

Can you bill for S2900?

S2900 is not reimbursable. According to Emblem Health’s reimbursement policy, the types of instruments, techniques or approaches used are left to the discretion of the surgeon. As such, code S2900 is not separately payable and the physician will not be additionally reimbursed for this code.

What is CPT modifier 22 used for?

Modifier 22 is used for increased procedural services and demonstrates when a physician has gone above and beyond the typical framework of a particular procedure.

Is there a modifier for robotic surgery?

Use of Modifier 22 is not appropriate if the sole use of the modifier is to report and bill for the use of robotic assistance. Modifier 22 may be used to report unusual complications or complexities which occurred during the surgical procedure that are unrelated to the use of the robotic assistance system.

Is there another code for S2900?

S2900 is a valid 2021 HCPCS code for Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) or just “Robotic surgical system” for short, used in Other medical items or services.

What is CPT code for robotic assisted laparoscopic hysterectomy?

When coding for laparoscopic or robotic procedures, code the standard laparoscopic CPT code, example 58552 for a laparoscopic or robotic vaginal hysterectomy, for uterus 250 g. or less with removal of tube(s) and ovary(s) or as another example 58571 laparoscopic or robot- ic total hysterectomy for uterus 250 g. or less …

What is the CPT code for robotic assisted surgery?

Robotic-assisted surgery is considered medically necessary for laparoscopic prostatectomy using the CPT code 55866. In all other surgeries, the use of robotics is at the discretion of the surgeon to determine the most appropriate technique.

Does Medicare recognize modifier 22?

Medicare won’t pay unless you explain why these procedures required more work or less work than usual, or why you stopped a procedure partway through. Modifier 22 — Increased Procedural Services: Add this modifier to a code when the work required to provide a service is substantially greater than typically required.

Does Medicare recognize modifier 52?

Modifiers -52 and -53 are no longer accepted as modifiers for certain diagnostic and surgical procedures under the hospital outpatient prospective payment system. Modifier -53 is used to indicate discontinuation of physician services and is not approved for use for outpatient hospital services.

What is the CPT code for robotic surgery?

What is procedure code 20985?

20985. Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List. separately in addition to code for primary procedure)

How do you code a robotic hysterectomy?

When do I need to use HCPCS code s2900?

In their claims, surgeons should include HCPCS code S2900* in addition to the main surgical procedure code when they have performed a surgical technique that requires the use of a robotic surgical system. S2900 is not reimbursable.

Why is the s2900 not payable by Medicare?

The reason for no replies must be because not many are using this due to its not a covered service. Medicare manual says that this is not payable by Medicare. Here are what some other payers say on the S2900.

Is the code s2900 payable with EmblemHealth?

According to EmblemHealth’s reimbursement policy, the types of instruments, techniques or approaches used are left to the discretion of the surgeon. As such, code S2900 is not separately payable and the physician will not be additionally reimbursed for this code.

What is the 2018 HCPCS code for robotic surgery?

S2900 is a valid 2018 HCPCS code for Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) or just Robotic surgical system for short, used in Other medical items or services.