How to Bill ReadySplints
Medicare - Use HCPCS codes I and II below as separate line item entries in box 24 of your CMS 1500 claim form. HCPCS I is the procedure code, HCPCS II is the supply code. Charges are as per payer allowables in your state. Visit and X ray charges are customarily separate, check with payer.
Private Pay - Use the same HCPCS I code as for medicare but use A9999 (unspecified) for the HCPCS II code. When using A9999, a description of the supply is entered in Box 19 of the CMS 1500 form (see below). A supply description is provided below and included on each splint kit. Charges are based on payer allowable. Users customarily charge one to two times the cost of the supply for HCPCS II.