Wiki CPT 59812 & 59820 in ASC

[erthsvr]

Hi all!

I have an insurance claim for 2 different patients that are being denied for "CPT code not billable in ASC".

The codes are:

59812: Treatment of incomplete abortion, any trimester, completed surgically

59820: Treatment of missed abortion, completed surgically; first trimester

Does anyone know if this is accurate? Can you bill these codes in an ASC?

Thanks,
Heather MacPherson, LPN, CPC, CPC-H

 

[delphinus777]

You can bill these procedures in an ASC. I wonder if its the dx? Here is site listing the the 2010 procdures for ASCs ... http://ascassociation.org/list2010.pdf

 

[ASC CODER]

both procedures can be billed at and paid 711.67 for ASC.

 

[erthsvr]

Thanks I also found the answer at CMS website! Thanks for the other website info as well!