Wiki Colonoscopy at Surgery Center

[nauger]

I'm billing for the professional component (my doctor) when he preforms a 45378 at an ambulatory surgery center. I'm new at this and have a couple questions:
1) Would I use place of service 24?
2) Do I need modifier SG for Surgery Center?

I bill for colonscopies at the hospital, but I've never billed for colonoscopies done at an ASC and am not exactly sure the difference.

Thanks in advance for any help!

 

[coachlang3]

1) yes, place of serv is 24.

2) no, you would only use the SG mod if you were filing for the ASC on a HCFA.

 

[nauger]

Thank you for the information!!

 

[coachlang3]

Another note, just an FYI, most insurances are following Medicare's lead and not requiring the SG mod anymore.

Also, UHC's computers don't recognize the SG mod on a HCFA.

Hence most ins require/ask an ASC to file on a UB form.