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Procedure Code for ESWT?

Posted by Sara p on 5/04/03 at 16:47 (117796)

Please help me find out the procedure code for ESWT. My husband requires it for his heel spurs and the insurance company says it MAY pay since it is a noninvasive procedure. But they need the code to tell us. The local provider has an OSSTRON machine.

Thanks in advance.


Re: Procedure Code for ESWT?

Dr. Z on 5/04/03 at 17:04 (117797)

The usual code is 0020T. Make sure that coverage includes both the payment for the ESWT treating doctor and the paymnent for the use of the machine. In addition there will be charges for anesthesia, ASC and all lab tests required by the surgical center where ALL ossatron procedure are done.
Get all payments promises in writing. The doctor's office that is providing this service should prepare a letter of medical necessity and contact the surgical center that has or doesn't have the contract with your insurance center.

Re: Procedure Code for ESWT?

Sara p on 5/05/03 at 11:49 (117831)

thank you!