lbarker0828
Guest
- Messages
- 2
- Best answers
- 0
Hi -
I hope someone can answer this question for me and point me in the right direction for supporting documentation per CMS.
If a procedure with a corresponding S&I code/charge is done in the OR and the surgical portion of the procedure is captured in the OR time charge and soft-coded, is the S&I portion still billable?
For instance the pt has a Transcather occlusion/embolization done - CPT 37204 in the OR and OR charges for time in the OR....Can we still bill/report the S&I 75894 with the appropriate modifiers if they are done/documented or is it considered part of the OR time as well?
My belief has always been that they S&I's are billable, but I have a client insisting they are not. While I can't find anything that says 'NO'....I can't find anything that says 'YES' either.
Thanks.
I hope someone can answer this question for me and point me in the right direction for supporting documentation per CMS.
If a procedure with a corresponding S&I code/charge is done in the OR and the surgical portion of the procedure is captured in the OR time charge and soft-coded, is the S&I portion still billable?
For instance the pt has a Transcather occlusion/embolization done - CPT 37204 in the OR and OR charges for time in the OR....Can we still bill/report the S&I 75894 with the appropriate modifiers if they are done/documented or is it considered part of the OR time as well?
My belief has always been that they S&I's are billable, but I have a client insisting they are not. While I can't find anything that says 'NO'....I can't find anything that says 'YES' either.
Thanks.