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03/24/2017

Medicaid Considers Adding Codes to New Payment Structure

OAASC Member Feedback Requested from State

The Ohio Department of Medicaid (ODM), in their effort to implement their new payment structure, is looking for OAASC member feedback.  They have been reviewing HCPCs codes to add coverage to for ASCs would like to know if ever/how often centers bill the following codes to other payers.
 

  • G0429  Dermal filler injection(s)
  • V2630  Anter chamber intraocul lens
  • V2631  Iris support intraocular lens
  • V2632  Post chmbr intraocular lens
  • V2790  Amniotic membrane

These are codes that Medicare covers in an ASC setting but the Medicaid program generally does not cover.

ODM is requesting that OAASC members provide some insight on how often, if ever, these codes are used by ASCs for billing other payers including Medicare. 


Additionally, they would like to know if there are there other codes that you would like to ODM to consider (especially if they are reimbursed appropriately?

 

Please send you feedback to OAASC’s Randy Leffler at rleffler@oaasc.net.  All feedback will be kept confidential and please contact Randy with any questions.  Your feedback is very important as we assist ODM as they implement their new payment structure.

 

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