Can an ASC bill E0781?

lshannon

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I'm new to ASC/ortho/pain management coding, and have been asked to determine if an ASC can bill for E0781, ambulatory infusion pump. I read NCD 280.14, but would like some help from the pros out there. Any reference you can point me to that I can provide to the director of the ASC (billable or not) would be much appreciated.

Thanks!
Lynn
 

creinhardt

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As an ASC part of the issue will be what your contract state. If you are paid on a percent of billed charges, then itemize it as you would any device/supply. If you are paid on a global rate, then separately billing it may not make a difference, as you will be paid a flat rate anyway. Some ins. companies systems may allow a separate payment even if your contract calls for a global payment. In which case separately billing the pump will create an overpayment.

The Journal of Onc. Practice had a good article on this subject specific to phys. office billing but the logic may still apply. Here is a link to the article: http://jop.ascopubs.org/content/6/4/218.full.pdf+html?sid=5da328e3-e31a-49dd-abf6-87620e14fb68
 
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