Transcription of 2020 Profile® Rhinoplasty Coding and Reimbursement Guide
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2020 Profile® Rhinoplasty Coding and Reimbursement Guide
2020 Profile Rhinoplasty Coding and Reimbursement Guide Profile Costal Cartilage Allograft: A Pre-shaped costal cartilage allograft for Rhinoplasty procedures HCPCS DESCRIPTION SI APC HOPPS ASC Physician J3590 Unclassified biologics N N/A Packaged Packaged N/A Important Billing Instructions: When reporting J3590, hospitals should provide the following information in Field 80 of the CMS 1450 (UB-04) claim form: The name of the product; the size of the product; the actual cost of the product. Profile available in 10 sizes: o L: , W: , T: o L: cm, W: 1-2 cm, T: o L: , W: , T: o L: , W: 1-2 cm, T: o L: , W: , T: o L: , W: 1-2cm, T: o , W: , T: o , W: 1-2cm, T: o L: >3cm, W: >1cm, T: >3mm o L: , W: >1cm, T: >3mm Private payers may require additional information such as relevant documentation to support medical necessity, invoice, and/or prescribing info
Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) J1 . 5165 ; $4,850.53 . $2,246.55 ; ... J34.89 Other specified disorders of nose and nasal sinuses J34.9 . Unspecified disorder of nose and nasal sinuses . K12.2 . Cellulitis and abscess of the mouth . M95.0 . Acquired deformity of nose .
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