• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki ASC & Surgeon billing - multiple procedures

Create Wiki Sort by date
A

arosario@ocalaeye.com

New
Messages
3
Location
Ocala, FL
Best answers
0
Multiple Procedures done / same session - Bill higher reimbursement for surgeon or ASC?
Example: 15823-RT (Blepharoplasty) & 67904-RT (Ptosis repair) / NCCI PTP Edits state you can only bill one HCPCS code
BCBS pays $100 more for 67904 than 15823 to surgeon
BCBS pays $100 less for 67904 than 15823 to ASC
Which HCPCS do you bill? Is there a rule of thumb in regards to this?
 
You must log in or register to reply here.
Top