PMA Mgmt. Corp. v. Fort Washington Surgery Ctr. (Bureau of WC Fee Rev. Hearing Office)

CourtCommonwealth Court of Pennsylvania
DecidedApril 3, 2025
Docket1208 & 1282 C.D. 2023
StatusUnpublished

This text of PMA Mgmt. Corp. v. Fort Washington Surgery Ctr. (Bureau of WC Fee Rev. Hearing Office) (PMA Mgmt. Corp. v. Fort Washington Surgery Ctr. (Bureau of WC Fee Rev. Hearing Office)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
PMA Mgmt. Corp. v. Fort Washington Surgery Ctr. (Bureau of WC Fee Rev. Hearing Office), (Pa. Ct. App. 2025).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

PMA Management Corp., : CASES CONSOLIDATED Petitioner : : v. : : Fort Washington Surgery Center : (Bureau of Workers’ Compensation : Fee Review Hearing Office), : No. 1208 C.D. 2023 Respondent : : Fort Washington Surgery Center, : Petitioner : : v. : : PMA Management Corp. (Bureau : of Workers’ Compensation Fee Review : Hearing Office), : No. 1282 C.D. 2023 Respondent : Submitted: March 4, 2025

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE LORI A. DUMAS, Judge HONORABLE MATTHEW S. WOLF, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COVEY FILED: April 3, 2025

Fort Washington Surgery Center (Provider) and PMA Insurance Company (PMA) each petition this Court for review of the Pennsylvania Department of Labor and Industry (Department), Bureau of Workers’ Compensation (Bureau) Medical Fee Review Hearing Office’s (Hearing Office) September 26, 2023 order (HO Order) granting in part and denying in part Provider’s Requests for Hearing to Contest Fee Review Determinations at Nos. MF-619939 (Surgical Code Determination) and MF-624690 (Device Code Determination). Hearing Officer Barry Keller (HO Keller) held that with respect to the Surgical Code Determination, Provider is entitled to reimbursement of procedure codes at the applicable rate the Centers for Medicare and Medicaid Services (CMS) established for reimbursement of procedures under Medicare, rather than the fee schedule established under the Pennsylvania Workers’ Compensation (WC) Act (Act)1 (WC Fee Schedule) and, with respect to the Device Code Determination, Provider is not entitled to payment because the multiple surgical procedure discount did not apply, billing modifiers 592 and SG3 should not be billed, Code 95972 bundles into payment of the surgical procedure codes, and device codes are bundled with payment for surgical procedures. There are two issues before this Court: (1) whether the surgical procedure code billed should be paid at the Medicare reimbursement rate for the year in which the service was performed; and (2) whether the equipment codes billed were bundled with the payments for the surgical procedures billed. After a thorough review, this Court reverses in part and affirms in part.

Background On December 14, 2017, Tamika Delaney (Claimant) sustained injuries in the course of her employment with the City of Philadelphia (Employer). Claimant sought medical care for her work injuries from Steven Rosen, M.D., who performed an ambulatory surgical procedure, i.e., a lumbar spinal cord stimulator implant (Surgical Procedure), on June 9, 2021 at Provider’s ambulatory surgical center (ASC). On July 23, 2021, Provider billed PMA $61,017.00 for the treatment and services rendered to Claimant on June 9, 2021 (July Bill).4 Provider’s July Bill

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1-1041.4, 2501-2710. 2 The 59 modifier denotes that the procedure was performed at a separate anatomic site. 3 The SG modifier denotes a surgical procedure. 4 The July Bill is the subject of the Surgical Code Determination. 2 for the Surgical Procedure included the following Current Procedural Terminology (CPT) codes (CPT Code), descriptions, and charges: Code Description Charge 63685-SG5 Ambul Surg $50,313.00 63650-SG-596 Ambul Surg $7,204.00 95972-SG7 Ambul Surg $3,500.00 Total $61,017.00 On November 19, 2021, PMA sent Provider an Explanation of Benefits (EOB), which indicated that PMA issued Provider a check in the amount of $1,593.83 for the July Bill.

5 CPT Code 63685 refers to: “Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling[.”] Reproduced Record (R.R.) at 219a (quoting CPT 2021 Professional (2021 Professional), published by the American Medical Association at 472). The page numbers of Provider’s/PMA’s Reproduced Record do not include the small “a” required by Pennsylvania Rule of Appellate Procedure (Rule) 2173, Pa.R.A.P. 2173 (“[T]he pages of . . . the reproduced record . . . shall be numbered separately in Arabic figures . . . thus, 1, 2, 3, etc., followed . . . by a small a, thus 1a, 2a, 3a, etc.”). Therefore, in compliance with Rule 2173, this Court has added a small “a” to its Reproduced Record page references. The SG modifier reflects a surgical procedure. 6 CPT Code 63650 refers to: “Percutaneous implantation of neurostimulator electrode array, epidural[.]” R.R. at 219a (quoting 2021 Professional at 471). 7 CPT Code 95972 refers to: Electronic analysis of implanted neurostimulator pulse generator/transmitter (e[.]g[.], contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming with complex spinal cord or peripheral nerve (e[.]g[.], sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional[.] R.R. at 219a (quoting 2021 Professional at 781). 3 On December 1, 2021, Provider billed PMA $63,797.50 for devices and/or supplies used during Claimant’s Surgical Procedure on June 9, 2021 (December Bill).8 Provider’s December Bill for devices and/or supplies included the following Healthcare Common Procedure Coding System (HCPCS) Codes (HCPCS Code), descriptions, and charges: Code Description Charge L8680-SG9 Implantable Equipment $8,000.00 L8680-SG Implantable Equipment $8,000.00 L8683-SG10 Ambul Surg $4,185.00 L8687-SG11 Implantable Equipment $37,487.00 L8689-SG12 Implantable Equipment $6,125.00 Total $63,797.00 On December 29, 2021, PMA sent Provider an EOB denying payment for the December Bill,13 explaining:

8 The December Bill is the subject of the Device Code Determination. 9 HCPCS Code L8680 refers to: “Implantable neurostimulator electrode, each[.]” R.R. at 219a (quoting HCPCS 2021 Level II Professional edition (2021 Level II) at 381). 10 HCPCS Code L8683 refers to: “Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver[.]” R.R. at 219a (quoting 2021 Level II at 381). 11 HCPCS Code L8687 refers to: “Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension[.]” R.R. at 220a (quoting 2021 Level II at 381). 12 HCPCS Code L8689 refers to: “External recharging system for battery (internal) for use with implantable neurostimulator, replacement only[.]” R.R. at 220a (quoting 2021 Level II at 381). 13 Provider complains that despite its entitlement to $79,404.75, PMA paid only $1,593.83 for the procedure, including the costly, complex implanted devices as follows:

Code Amt. Billed Amt. Owed Amt. PMA Paid 63650 $7,204.00 $4,473.13 $531.28 63685 $50,313.00 $23,894.02 $1062.55 L8680-SG $8,000.00 $6,400.00 $0.00 L8680-SG $8,000.00 $6,400.00 $0.00

4 The billed service is not payable according to Chapter 127. [WC] Medical Cost Containment [(MCC), 34 Pa. Code §], 127.125 . . . . Payment to [p]roviders of [o]utpatient [s]urgery in an ASC are based on the ASC payment groups and include the Medicare list of covered services and related classifications in these groups. Only surgical services may be reimbursed.

Supplemental Reproduced Record (S.R.R.) at 1b. Provider filed Applications for Fee Review Pursuant to Section 306(f.1) of the Act14 on September 23, 2021, and January 4, 2022.

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PMA Mgmt. Corp. v. Fort Washington Surgery Ctr. (Bureau of WC Fee Rev. Hearing Office), Counsel Stack Legal Research, https://law.counselstack.com/opinion/pma-mgmt-corp-v-fort-washington-surgery-ctr-bureau-of-wc-fee-rev-pacommwct-2025.