asc & hospital procedure billing

  1. C

    Wiki KX MOD in a ASC

    I code for the facility not the professional services. I am being asked to review a claim that denied due to Pt has meet max benefits for the year. The AR rep is stating they were advised that this case scenario may meet the requirements to add the KX modifier. When would it be appropriate to...
    • CandaceLucio
    • Thread
    • ambulatory surgery center (asc) asc asc & hospital procedure billing asc billing mod kx ophthalmology outpatient
    • Replies: 0
    • Forum: Outpatient Facilities
  2. D

    Wiki private-owned, physician-owned, hospital-owned ASC & hospital-based outpatient facility: is there a list of items CMS bundles into CPT codes?

    Is there a url that lists which items CMS/private payers include/bundle in physician office procedures, ASCs (private-owned, physician-owned, hospital-owned) & hospital-based outpatient facilities (e.g. medical supplies, anesthesia, recovery, injectables, implants)?
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