US ACCESS & REIMBURSEMENT

Scalp Cooling Billing and Reimbursement Information

Paxman offers a new patient access model and AMA CPT Editorial Panel’s recent coding update[1] on scalp cooling.

Effective 2021: 0662T: Scalp cooling, mechanical; initial measurement and calibration of cap (report 0662T once per chemotherapy treatment period).

0663T: Placement of device, monitoring, and removal of device (list separately in addition to code for primary procedure). 0663T is to be used in conjunction with 96409, 96411, 96413, 96415, 96416, 96417 and reported once per chemotherapy session.

For a full list of the codes, please visit CPT® Category III Codes Long Descriptors

Billing Insurance with the Paxman Hub*
(*per contract with Paxman)

The Paxman HUB assists you with your self-pay patients and when you are contracted with Paxman to bill your patients’ insurance company. If you would like to learn more about billing insurance, contact us hcp@paxmanusa.com.
Download the enrollment form, and fax it to 888-358-0410 when complete. If your patient is insured, make sure to include a copy of the front and back of your patient’s insurance card. Fax the completed form to 888-358-0410.

The Paxman Hub will help your practice:

  • Verify patient insurance benefits and notify you
  • Identify information required for a Prior Authorization Submission
  • Identify information required for a Prior Authorization Appeal
  • Determine patient eligibility for Patient Assistance Program

The Paxman Patience Assistance Program

The Paxman Patient Assistance Program assists patients who meet all of the following criteria:

  • Patient is uninsured or underinsured
  • Patient lives in the United States
  • Live in a household with combined income at or below generous percentage of the US Federal Poverty Level

Additionally, Non-Profit Foundations may also be available to assist patients in need.

For more information please connect with our Market Access and Reimbursement Manager:

Renee Jernander
Market Access & Reimbursement Manager - USA
renee@paxmanusa.com
813-240-1505

Footnotes

[1] HOPPS Final Rule, November, 2021: 2021-24011.pdf (federalregister.gov)

© Paxman Coolers 2022