Wiki Ancillary Services

[barbara davis]

Where can I find guidance or policy on billing Ancillary Services ? Do you code the Signs and Symptoms from the orders or do you code from the test results? I am coding the Ancillary Services at a Hospital. Thanks

 

[Pam Warren]

The ICD-9 coding guidance is in the front of the book.

Essentially, when billing facility charges for ancillary services, you would code based on the order, or the reason for the encounter unless the result is available. For example, we code based on the order for lab services, but we have the report available for the rad services, so we code the result.

For Rehab services, chemotherapy, etc., you always append the V code primary for the reason for the encounter (i.e. encounter for chemotherapy). The secondary codes are to report the condition, history, etc.