| RT payments...Compiling a List of Insurance Codes |
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03/09/2011 15:02
Gweneth 
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03/09/2011 15:02
Gweneth
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Re: RT payments...Compiling a List of Insurance Codes
Luba,
My online claims do not go back far enough, so I will have to find the paper claims which might take a while.
I was treated in February 2009 for my left hand and left foot. I was treated in May 2009 for my right hand and right foot.
Gweneth
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03/10/2011 13:25
Chobe2 
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03/10/2011 13:25
Chobe2
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Re: RT payments...Compiling a List of Insurance Codes
Hi LubaM.,
I spoke to OU and they were nice enough to send me all the insurance codes that they use and the girl in billing actually called my insurance - CIGNA - and got pre-approval. Since then I've decided to go to Germany which my insurance said they would not cover. I will send you a private message with the codes.
Diane
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03/18/2011 15:36
LubaM. 
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03/18/2011 15:36
LubaM.
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Re: RT payments...Compiling a List of Insurance Codes
As promised here is a list of Insurance Codes that I have been compiling in order to share with all of you who are trying to get Insurance Companies to approve payment for RT. Hope this list is helpful. I will post again if more people send me their codes..........LubaM.
Posted by Fjellver 3/6/11
Aetna says the CPT RT code for DD is 77401 and the ICD-9 code for DD is 728.6.
I believe those are the codes put in for me at MGH last week where I had my first week of treatments.
You can check out the Aetna online at Aetna.com, then find Bulletins, then find the #0800 Policy. It is interesting reading and may help others with their research.
Thanks for doing this,
Fjellver
Posted by Lori 3/3/11treatment in the US near Charlotte, NC. Dr. Crimaldi and Southeast Radiology...codes from 2009
Clinical treatment plan: 77263
Field verification simulation: 77280
Simulation complex: 77290
TX device complex: 77334
Weekly mgmt.: 77427
Complex Rad TX: 77413 X 5 days
Basic Dose Calc: 77300
Continuing Med Physics: 77336
Posted by Diane 3/10/11
RT done at University of Oklahoma...
Below are the codes that we use for billing for the physicians.
Physicians billing codes for Dupuytrens are as follows:
77300,77334,77427,77290,77263, 77280, 77321 and 99245
ICD-9 Code for Ledderhose is 728.71
ICD-9 Code for Duputrens is 728.6
Posted by LindaM on 3/18/11
I've just received confirmation that Aetna will cover DT tratement based on the codes below. They consider LT experimental. Starting treatment at VCU next week.
Description of CPT Dx
Charge Code Code
Initial Consultation 99245 728.6
Physician Tx Plan 77263 728.6
Field Set-up 77290 728.6
CT Scan 77014 728.6
Dosimetric Electron Planning 77321 728.6
Depth Dose Calculations 77300 728.6
Complex Tx #1 77414 728.6
Images for set-up verification 77280 728.6
Baseline Dose Verification 77331 728.6
Weekly Physican Mgmt 77427 728.6
Weekly Physics Check 77336 728.6
VARIOUS POSTS ABOUT BILLING CODES FROM FORUM
http://www.dupuytren-online.info/Forum_E...ed-0_747_1.html
Edited 03/18/11 17:46
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03/19/2011 18:07
moondanc
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03/19/2011 18:07
moondanc
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Re: RT payments...attn: Flojo
I haven't been following this forum for almost a month. Flora, I thought your initial RT at Scripps was covered by Medicare. Has something changed or is it new treatment that isn't being covered. When you initially supplied the codes that Scripps used they were identical to the ones Dr. Chang/Palo Alto Medical Foundation (PAMF) used but were denied. Are you now eing held resonsible for your treatment costs?
Moondanc/Diane
Edited 03/20/11 03:06
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03/19/2011 21:52
LubaM.
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03/19/2011 21:52
LubaM.
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Re: RT payments...Compiling a List of Insurance Codes
Diane,
Pls. check the "Private Messages"...I just sent you a long message.
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03/20/2011 00:30
Chobe2
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03/20/2011 00:30
Chobe2
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Re: RT payments...Compiling a List of Insurance Codes
LubaM.:
Diane,
Pls. check the "Private Messages"...I just sent you a long message.
Sorry LubaM - there were no messages. I'm leaving early in the morning - 4 a.m. - so why don't you send to my personal email: chobe2@hughes.net.
Diane
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03/20/2011 01:08
moondanc
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03/20/2011 01:08
moondanc
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Re: RT payments...Compiling a List of Insurance Codes
Has anyone on Medicare had their claims paid? Lori are you on Medicare? My doc/PAMF appealed 3 times and they are very, very aggressive so if they can't get it paid, I'm not sure if it's covered.
Moondanc/Diane
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03/20/2011 05:25
LubaM.
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03/20/2011 05:25
LubaM.
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Re: RT payments...Compiling a List of Insurance Codes
Chobe2:
LubaM.:
Diane,
Pls. check the "Private Messages"...I just sent you a long message.
Sorry LubaM - there were no messages. I'm leaving early in the morning - 4 a.m. - so why don't you send to my personal email: chobe2@hughes.net.
Diane
Chobe2/Diane,
Sorry about the confusion...I was sending this post to Moondanc/Diane in response to her post addressed to Flora....the message was in relation to how Medicare is not covering RT as of now...Flora is trying to appeal and get that decision reversed...Hope Medicare will start paying for RT, because there are many of us on Medicare who rely on this.
If you have any questions, pls. send me a Private Message and I will send you my email address if you like.
Edited 03/20/11 07:26
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03/20/2011 13:02
lori
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03/20/2011 13:02
lori
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Re: RT payments...Compiling a List of Insurance Codes
Diane,
No I am not on medicare, I am 55.
Lori
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