Question Billing Oral Surgeries in an ASC

milleap

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Is anyone billing oral surgeries each on a separate line in their ASC rather than rolling them up on the same line for each distinct code? I am being told that each D-code (and any other procedure) should be billed separately on a line rather than bill X units of each code that is the same. Being told some payers are only paying 1 unit. This doesn't seem appropriate to me.
 

thomas7331

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I haven't coded dental procedures, but in my experience with facility coding, all surgical procedures billed by facilities need to have a separate line for each distinct procedure in order to be reimbursed correctly. If multiple procedures with the same CPT/HCPCS code were performed, the facility would code the second and any additional ones with a modifier (e.g. 59, XS etc.). Units are not usually considered for pricing purposes on facility claims. The is standard with surgical coding wherever I've worked - why do you feel it might not be appropriate?
 
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