Re: post-Essure HSGs

From: Charlie Chambers (ricechaz@me.com)
Sat Jan 31 17:39:46 2009


Interestingly, I've heard that it might be likely Adiana, the next tubal occlusion system may not require post procedure HSG

****************************************************************************** Charlie Chambers Hood River, OR USA

--
cchamber@alumni.rice.edu

"All good things...come by grace, and grace comes by art, and art does not come easy."

Norman Maclean *******************************************************************************

On Jan 31, 2009, at 3:42 PM, Joanne Bulley, MD wrote:

> So far I have not had a a patient call and complain that it had not > been > covered. > > Make sure your radiologist are coding it for confirmation of tubal > occlusion and not for infertility -- they should be using a different > code. Check with your Essure Rep for the codes ... or read the CPT > /and ICD 9 stuff. Your radiologists biller may not have a clue that > they are billing it wrong - and call your MD Rep at the insurance > company. > > I know that is a realy PITA as you have to go through the friggin' > automated phone tree for many minutes til you might have the luck of > talking to a REAL person who is supposed to be your rep. > > Joanne > > At Sat, 31 Jan 2009, Hugo D Ribot Jr wrote: >> >> Hey listers, >> >> Is anyone having as hard a time as we are in getting reimbursement >> for >> post-Essure HSGs? >> >> Our state Medicaid managed care organizations don't seem to cover it, >> even though it's part of the FDA approval for the Essure. >> >> We keep running into the issue that they and commercial insurers, >> especially, think HSG is done for infertility reasons and we keep >> getting denials. >> >> Anyone (especially in Georgia) have any good suggestions? >> >> -- >> Hugo D. Ribot Jr., M.D., FACOG >> Cartersville, Georgia >> Private practice since 1990 >> 2 MDs/3 CNMs >> > > -- > Joanne Bulley, MD > solo gyn > Keene, NH





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