Procedure Code for Fills

Aloha All,

I don't know if this is universal or not, but can anyone tell me what the procedure code is for fills? I'm trying to find out if my insurance covers the fills, but they said they needed a procedure code. I'm reluctant to ask my doctors office because they want us to pay for the procedure out of pocket, but DANG, if it's covered by insurance we shouldn't have to pay it out of pocket.

Have a great holiday weekend !!!!

__________________






Banded 9/26/07
Rebanded 10/01/07
Kailua, Hawaii
Castle Medical Center

I can tell you that as far as I know no insurance will cover the fills. My insurance covered almost 90% of the original surgery- but nothing on the fills. The surgery center and doctor where i had mine done, all say that they have not found an insurance that pays for the fills.

Really:omg:, can your doctors charge it as part of the post-op visit? That's crazy that you have to pay for the fills out of pocket. I wonder if that applies for fills at those fill center or even with your surgeon? Does that mean all insurance policies don't cover the fills? How much does a fill cost?

Thanks.
Love
I'm having surgery January 7th

My doctor charges $250, but will let you come for adjustments for free within the month of the fill. It's going to get pretty expensive as most don't feel good restriction until the 3rd fill (at least that's what I've been reading). I do know that some insurances covers fills like Federal Blue Cross/Blue Shield.

__________________






Banded 9/26/07
Rebanded 10/01/07
Kailua, Hawaii
Castle Medical Center

I have had 3 fills so far and go for my 4th Monday and have not paid anything not even the office visit. I think it was all billed to the insurance company as part of the surgery. If I remember correctly I can get the fills for a year. Im going to remember to ask about it but I hope that by time my year is up I will be at my goal and sweet spot so that i wont need to go to often.

__________________

254/243/175/150


Surgery 5/30/07
Dr. James P. Viglianco
Barix Clinic Groveport, Ohio

I have Fed blue sheild/blue cross and they denied payment for the fills. My doc does not charge for the fills, but have to pay $100 to the surgery center for the fluroscope use during the fill.

My BCBS pays for my fills .....all I have to pay is the co-pay. I have no idea how that office codes it, though.

__________________

There is no use saying, 'I am doing my best.'
You have got to succeed in doing what is necessary.

My fills are covered for the first 90 days on Aetna. Then I pay $175 for a fill. I don't know if my insurance covers them after that.

hi I just happen to be a LAP-BAND^® patient and an RN who works at an insurance company as a Claims nurse. There is a code for fills. the HCPCS code is9drumroll please) : S2083.

Talyn