The attached spreadsheet, a much shortened version of the 2021 Medicare PFSRVU file, includes only 2021 Hand and Wrist Orthopedic Procedures with no SOSD in the following categories: Flexor And Extensor Tendon Repair Tendon Transfer Dupuytren Contracture Release Trigger Finger And Carpal Tunnel Release Surgical Treatment Of Metacarpal And Phalangeal… Continue reading
Below are 2021 charges for Code 29848 and 64721. Reimbursement Information Wrist Endoscopy / Surgery Carpal Tunnel Surgery (Open) CPT™ Code: 29848 64721 PFS Relative Value Units: 15.12 12.37 Medicare Allowable (Physician Services Fee): $490.04 $446.43 Facility Fee Payment Weight: ASC: 14.7803 16.6878 Facility Fee Reimbursement: ASC: $723.53 $796.79 Facility… Continue reading
As promised this is an in-depth look into IOECTR, WALANT, and OBS. It was updated Sept 2, 2021 My goal with this guidebook is to provide information on how to set up and be fairly reimbursed for In-Office Endoscopic Carpal Tunnel Release (IOECTR). In other words, how to set up… Continue reading
One Visio Graphic is a one-page IOECTR Project Overview The other is a one-page graphical representation of the issues. These include OBS, WALANT, SOSD, reimbursement, setup, accreditation and others. Also included is a more-detailed one-page explanation of the issues above.
Below is a one-page Spreadsheet for establishing and obtaining reasonable reimbursement for an Office-based-surgical suite, WALANT and/or In-Office Endoscopic Carpal Tunnel Release. Last update: JAN 2022. This checklist is to help surgeons who perform endoscopic carpal tunnel release in the office setting (POS=11 / office) negotiate optimal reimbursement. Related terms… Continue reading
This is specifically for procedures that do not have a Site-of-Service Differential! There are at least 97 hand-and-wrist procedures so this applies to many procedures, not just IOECTR. This is a Step-by-Step Guide on strategies and approaches to negotiating a “carve-out” reimbursement for In-Office Endoscopic Carpal Tunnel Release with an… Continue reading
Overview: The attached Spreadsheet includes the detail for the following: Total orthopedic procedures = 1,645Orthopedic codes without a Site of Service Differential (SOSD)= 1174. 71% of all orthopedic procedures. NON-FAC NA INDICATOR = NA.These procedures are considered “facility only” and there is no additional reimbursement when performed in an office-based… Continue reading