Wiki ASC Billings/ Coding

[sienamt]

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

 

[thomas7331]

Using modifier XP on CPT code 64483 to indicate that it is a different provider should override the edit and allow both procedures to be paid.