Jul. 3 at 7:49 AM
$MBOT ok, let’s see, how about this search:
are there any
$2000 to
$5000 surgical medical devices that did not receive insurance codes before being widely used for procedures?
Web searching drum roll:
“Yes. Many surgical devices priced in the
$2,000 to
$5,000 range—particularly those used in minimally invasive, ophthalmic, or orthopedic procedures—are widely used before receiving dedicated, procedure-specific Category I CPT codes from the American Medical Association (AMA).”
And
“In the U.S., Food and Drug Administration (FDA) clearance does not automatically trigger insurance coverage. Instead, hospitals and surgeons often adopt new, beneficial devices by temporarily billing them through broad, "unlisted" or legacy procedure codes while awaiting a permanent code from the American Medical Association (AMA).”
So apparently (despite what some shorts would want you to believe)not having the codes is a non-issue for adoption, even widespread adoption.
Cue the mic drop. Again.
