This blog post provides a comprehensive guide on how to correctly bill for MILD (Minimally-Invasive Lumbar Decompression) procedures in the healthcare industry. With clear instructions and helpful tips, the post aims to assist healthcare providers in navigating the billing process, avoiding common errors, and maximizing reimbursements. Whether you are a physician, coder, or biller, this informative post from GoHealthcare Practice Solutions LLC can serve as a valuable resource for billing MILD procedures accurately and efficiently.
Some of my Pain Practice Offices are still confused on how to bill for MILD Procedure. As we all remember, there was no assigned CPT Code for this procedure, we used to report the unlisted code.
In this Blog, I will describe the billing and coding for this procedure using the Vertos Device (www.vertosmed.com
First, let's describe what is MILD?
MILD stands for MINIMALLY INVASIVE LUMBAR DECOMPRESSION.
CPT 0275T is a Category III Code assigned for this procedure.
0275T - Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy, and/or foraminotomy), any method, under indirect image guidance (eg. fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar.
(For percutaneous decompression of the nuleus pulposus of intervertebral disc utilizing needle based technique, use 62287)
So how do you report and bill for this MILD Procedure?
Billing on HCFA 1500 form?
The following information has to appear and included in your claim submission:
My additional recommendation (especially for Medicare beneficiaries): Enter the "referring physician" on Box 17 the same as the "rendering physician" on Box 24J since the assessment and treatment plan is that from the "Rendering Physician".
2022 GUIDANCE HOW TO BILL FOR MILD - MINIMALLY INVASIVE LUMBAR DECOMPRESSION BILLING GUIDANCE for the Procedure (NCTØ3Ø72927) - SOURCE VERTOS (SEE ATTACHMENT BELOW)
Video Source is owned by: VERTOS MED - www.vertosmed.com
Do you need additional help with billing?
ABOUT THE AUTHOR:
Ms. Pinky Maniri-Pescasio is the Founder of GoHealthcare Consulting. She is a National Speaker on Practice Reimbursement and a Physician Advocate. She has served the Medical Practice Industry for more than 25 years as a Professional Medical Practice Consultant.