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LifeCell provides this information as a guide only. Providers are responsible for documentation and selection of procedure coding. Providers should contact each insurer to confirm specific requirements for procedure coding, use of modifiers and documentation.
- Medical record documentation reflecting use of AlloDerm® or Strattice™ allows billing and coding personnel to verify accurate codes have been assigned. Documentation should include patient’s medical history, current condition, and medical necessity for use of LifeCell products.
- Complete claim forms will expedite claims processing and payment by insurers.
Coding Information:
2010 Breast Reconstruction Coding Guide
- Surgeon
The 2009 coding observations provide information on suggested procedural coding for select breast reconstructive procedures:
What’s the 2009 Medicare Physician Payment for a CPT code in your area? Click here to find out! - Diagnosis Coding (ICD-9-CM)
- Inpatient Hospital
- Outpatient Facility
For more information and assistance, contact the LifeCell Reimbursement Hotline at 888.543.3656 or reimbursement@lifecell.com.
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