Billing for 2 separate surgeries, same day, 2 different insurance

karam

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Hi-
How many of you allow providers to bill out for 2 surgeries done on the same day? The surgeries would be on 2 different body parts and would be billed to 2 different insurances. I am trying to locate billing procedures regarding this and cannot seem to find any.

thank you in advance for your help
Kara
 

cling2me2

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Are they during the same surgical session or two different sessions on the same DOS?

If they are totally different sessions then I would think it is allowed. However, if both are done during the same surgical session then I think your provider could probably bill separate but the facility would have a problem (I think). My thoughts are, if part of the provider's charges were for the same thing (like use of the Operating Room or anesthesia) then I think he could not, but since they are two different body locations and different insurances then I would think he could; however, if you have to submit the Operative Report to either insurance you may have problems, unless he dictates two separate operative reports. (this is just my opinion, I have not researched this scenario.)
 
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