Wiki Ambulatory Surgery Billing

Ydalis01

New
Messages
2
Location
Nutley , NJ
Best answers
0
2 surgeons, 2 different CPT codes, same date of service (not a co surgery). Being that each provider is billing for each procedure with no modifier, as this is not a cosurgery, and are different specialties, How would the ambulatory surgery center report the facility charges? Scenario: Provider A: bills professional charges with CPT 38525, 19303,50 Provider B: Bills professional charges with Cpt 15777,50, 19357,50 . Please note each provider has their own documented OP report. They did not at all assist each other in any of the procedures. Provider A starts with mastectomy and then turns over to Provider B for reconstruction.
 
Last edited:
What kind of practice management software do you have? Typically payers will not allow a facility to bill more than one claim for a patient for the same date of service, so you need to put all the charges for both providers on one claim together. Depending on your software, you should be able to change the name of the provider for each line billed. So you can assign the CPT codes to the correct surgeon who did the surgery. If you can't figure out how to do that on your computer, do you have an IT person you can ask? Or the customer service line at the company that provides your software. They should be able to help you. Hope this helps.
 
Top