Health Information Management

Q/A: Billing for open but unused supplies

APCs Insider, September 11, 2009

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Q: Can we bill for supplies or implants that we opened but did not use? If so, how do we report them?
 
A: Although no specific scenario is given, based on Program Memorandum A-02-129, which is based on devices with pass-through status, you can report wasted implants on the patient bill in the following cases:
  • Implant has been inserted and then removed
  • Implant insertion attempted but unsuccessful during a patient procedure
Do not report the wasted implant when:
  • Implant has not been in contact with the patient
  • Implant was opened, contaminated, or the wrong size, but was not used



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