Medicare
does not cover face down
positioning equipment for vitrectomy eye surgery, it is an
automatic denial at this time. It
is coded as a non-covered item CPT E 0190. RiteTime
cannot process paperwork through
Medicare. SADMERC says it will take Congress telling them
to assign an allowable CPT code.
Please see
the attached Importance link that quotes CIGNA
HealthCare Coverage Position # 0173 about the importance of
maintaining face-down positioning and using durable medical
equipment (DME) for eyesight
recovery.
PLEASE contact your Congressman and request
they sponsor and/or support legislation for Medicare to cover
medically necessary, doctor prescribed face down positioning
equipment for vitrectomy patients. It certainly makes
sense for individual constituent patient eyesight
recovery. Also it would potentially and cost
effectively reduce the need for second and third vitrectomy
surgeries that Medicare covers if the patient does not
maintain face down positioning the initial vitrectomy.
Upon request, as a
courtesy, RiteTime Corporation will process insurance
paperwork for possible reimbursement.
Rite Time
uses CPT code E 1399 a
miscellaneous code unless private insurance
prefers E 0636.
Sometimes private insurances and/or secondary insurances
reimburse their patients in part.
~*~*~*~*~*~*~*~*~ Vitreoretinal ophthalmologist eye
surgeons perform a vitrectomy to repair detached retina
or a retinal macular hole. The Rite Time
System is the solution for the
necessary face prone prescribed posture. Patients have
appreciated using the RiteTime
System and have successfully
maintained facedown positioning 24/7 for as long as necessary to
regain their eyesight.
You will appreciate the
vitrectomy support system solutions the Rite Time
System affords you or your loved
one for facedown vitrectomy eyesight recovery.
To order and/or discuss the Rite Time
System, call Al or
Sandra at RiteTime at 1.800.266.2924 or 1.480.832.1592 or email
me at sandra@RiteTime.com. We look forward to
assisting you or your loved one regain
eyesight.
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