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Wiki ASC Billing/ Coding

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sienamt

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Our surgery center bills for the ASC Facility fee and we have an Orthopedic surgeon who wants to do a 29827 (arthroscopic rotator cuff repair) and then have a Pain Management physician come into the OR and do a 64483 (lumbar transforaminal epidural) on the same patient, for a completely separate problem. When I put the 2 codes into my billing software it says that 64483 is a column 2 code for 29827 so they cannot be billed together.

However, I was told that the facility CAN bill for these 2 procedures because they were performed by different physicians. Does anyone know if this is true and how we would bill it to get reimbursement for both procedures?

Thanks!

Siena Cummings CPC-A
 
I would recommend that you only code and bill for what your Orthopedic Surgeon did, the shoulder surgery. The Pain Management Specialist/Anesthesiologist would have to code and bill for his services for himself. In spite of the location/ASC and same day, two procedures were done by two different proceduralists, and should be separated in their billing.

Respectfully submitted, Alan Pechacek, M.D.
 
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