US ACCESS & REIMBURSEMENT

Scalp Cooling Billing and Reimbursement Information

Paxman offers a new business model per the AMA CPT Editorial Panel’s recent coding update[1] on scalp cooling, in an effort to improve patient access.

Scalp Cooling CPT Codes

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 will assist you with your self-pay patients, and when you are contracted with Paxman under the new business model to bill your patients’ insurance company. 

If you would like to learn more about our new business model and billing insurance, contact us hcp@paxmanusa.com.

If you partner with Paxman under our new business model, the Paxman Hub will help your practice:

  • Verify patient insurance benefits
  • Identify information if required for a Prior Authorization Submission and Appeal
  • Determine patient eligibility for our Patient Assistance Program (please see below for more detail)
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.

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

The Paxman Patient Assistance Program

The Paxman Patient Assistance Program (PAP) is available when facilities are contracted under the new business model. The PAP assists patients who:

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

Non-Profit Foundations may also be available to provide financial assistance to patients in need. Click here for more information.

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