Explore our free mid-revenue cycle articles and webinars here.

Ask a Rev Cycle Expert: Reporting on Device Dependent Procedure?

Question:

How do we report when a device dependent procedure is performed but no device or implant is used? We have a surgeon who uses sutures to do many different types of repair in place of typical plates and screws, and we were told that the codes we used aren't allowed to use modifier CG to bypass the edit.

Answer:

Only a small group of CPT® codes can bypass the device-intensive procedure edit when reported with modifier CG Policy Criteria Applied. All other procedures must have an eligible device code billed with the device-intensive procedure. If there is no eligible device used, HCPCS code C1889, Implantable/insertable device used with device-intensive procedures, can be used to bypass the edit.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).