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Re: Sleepyhead help

Posted: Mon Jan 18, 2016 3:04 pm
by Drowsy Dancer
palerider wrote:
Drowsy Dancer wrote:The billing code is (or used to be) E0601 for all machines up to but not including bilevel
Thank you, I never can remember the codes.
It may have changed with the advent of ICD-10 but there should be a crosswalk for now. Hold please for additional research.

Re: Sleepyhead help

Posted: Mon Jan 18, 2016 3:10 pm
by Drowsy Dancer
Upon preliminary research (I'm far from an expert at this) it appears that HCPCS ("hick picks") codes, which are used to bill insurance for DME (durable medical equipment), have not been touched by the change from ICD-9 to ICD-10. Curious.

I *think* that the lack of chance *may* be limited to DME. In other words, if you have a medical *procedure,* or get a *diagnosis,* the code has changed, but they haven't changed the codes used for *supplies.*

For recreational reading: https://www.cms.gov/Outreach-and-Educat ... 900943.pdf

Re: Sleepyhead help

Posted: Mon Jan 18, 2016 5:32 pm
by red_roni
I went to my doctor's office today. The lady that I need to talk to was not there. She will be there with my doctor tomorrow. I spoke to another person. She looked at my records and the doctor did not specify in his notes which machine to give me. She said that they could ask him tomorrow which machine he wants me to have when I come in to see the equipment person. She seemed to be optimistic since I have only had my machine for 25 days. I think this is going to turn out OK. I am ready for the fight. My insurance paid them $860 for my machine. That means that they made money by giving me the basic machine. The way technology is changing, if I have to keep this machine for several years, I am already starting out behind. I will post an update tomorrow. Thanks again.