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What's the deal now with the codes for the two facial fillers
Jun 10, 2010

Nelson, after speaking with my ID Dr.'s office.. they said that these codes are temporary and not working. I spoke with Medicare and they know nothing re: this matter. Do you know what is happening with this? I gave Medicare the codes from Aidsmeds.com and they know nothing. Can you shine some light on this subject? Thanks for your help. (The assigned HCPCS code for Radiesse injections is Q2026, according to CMS. The assigned HCPCS code for Sculptra injections is Q2027. These codes are effective for claims with dates of service on or after March 23, 2010.) Thanks, East Texas here

Response from Mr. Vergel

The HCPCS codes for Sculptra and Radiesse are on the second page on this link: http://www.cms.gov/transmittals/downloads/R1972CP.pdf

What are HCPCS Codes? Healthcare Common Procedure Coding System - Billing Codes

By Trisha Torrey, About.com Guide

Updated February 17, 2009

HCPCS Codes, Healthcare Common Procedure Coding System numbers, are the codes used by Medicare and monitored by CMS, the Centers for Medicare and Medicaid Services. They are based on the CPT Codes1 (Current Procedural Technology codes) developed by the American Medical Association.

HCPCS Codes are numbers assigned to every task and service a medical practitioner may provide to a Medicare patient including medical, surgical and diagnostic services. Since everyone uses the same codes to mean the same thing, they ensure uniformity. For example, no matter what doctor a Medicare patient visits for an allergy injection (code 95115) that doctor will be paid by Medicare the same amount another doctor in that same geographic region would be.

Some examples of HCPCS / CPT Codes:

99214 may be used for a physical 90658 indicates a flu shot 12002 may be used to stitch up a one-inch cut on a patient's arm There are two sets of codes. The first set, HCPCS Level I, are based on and identical to CPT codes2, the codes developed by the American Medical Assocation. Level II HCPCS codes3 are used by medical suppliers other than physicians, such as ambulance services or durable medical equipment. These are typically not costs that get passed through a physician's office so they must be dealt with by Medicare or Medicaid differently from the way a health insurance company would deal with them.

Where You Find HCPCS / CPT Codes and How to Use Them Patients can find HCPCS / CPT Codes in a number of places. As you leave the doctor's office, you are handed a review of your appointment which may have a long list of possible services your doctor provided, with some of them circled. The associated numbers, usually five digits, are the codes.

If your appointment requires follow up billing by your doctor for copays or co-insurance, then the codes may be on those bills.

A wise patient and smart healthcare consumer will use these codes to review medical billings from practitioners, testing centers, hospitals or other facilities. It's a good way to be sure your insurance (and your co-pays and co-insurances) are paying only for those services you received.



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