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Reimbursement

Position Statement/disclaimer

The coding and reimbursement information and data provided by Exactech is presented for informational purposes only and is accurate as of its date of publication. It is the provider’s responsibility to report the codes that accurately describe the products and services furnished to individual patients.

Reimbursement is dynamic. Laws and regulations regarding reimbursement change frequently and providers are solely responsible for all decisions related to coding and billing including determining, if and under what circumstances, it is appropriate to seek reimbursement for products and services and obtaining pre-authorization, if necessary.

For these reasons, providers are advised to contact Medicare and/or specific payers if they have any questions regarding billing, coverage and payment. Likewise, providers should contact a medical specialty society or the AMA for coding clarification. Providers should check the complete and current HCPCS and/or CPT manual to see and consider all possible HCPCS and/or CPT codes.

Exactech makes no representation or warranty regarding this information or its completeness or accuracy and will bear no responsibility for the results or consequences of the use of this information. CPT codes and descriptors are copyrighted by the American Medical Association (AMA).

All content is informational only, general in nature, and does not cover all situations or all payers’ rules or policies. The content is not intended to apply to any particular situation. In all cases, the service and the product must be reasonable and necessary for the care of the patient to support reimbursement.

This website may not be used as an official source of information. Providers should check Medicare bulletins, manuals, program memoranda, Medicare guidelines and other payer information to ensure compliance with Medicare and other payer requirements. Inquiries can be directed to the hospital’s Medicare Part A fiscal intermediary, the physician’s Medicare Part B carrier, or to appropriate payers.

Centers for Medicare & Medicaid Services (CMS)

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