E/M billing w/proc out of ASC?

[Jen Verlinda]

Hi all, first time poster here. I just started at a dermatology clinic and have a question about coding in our ASC.

What is the proper way to code (or more beneficial way) when the Dr. codes a 99213-25 out of the ASC along with the procedures which are 11602-excision of malignant lesion 1.1-2.0 cm and the repair code of 13101.

Basically should the Dr. see the patient in clinic and then move to the ASC for repair? Or will the 99213-25 in the ASC be reduced? The ASC is pretty new here so the procedures on billing are pretty green. Any help would be GREATLY appreciate. Thanks so much!

Jen Verlinda-CPC

 

[katerock1]

Does that need to be done in the ASC? It's an office visit here.
99213-25
11602
13101

 

[Lisa Bledsoe]

I agree with katerock1. Those procedures are done in the office. Also, if the patient was schedulde for the excision, you can't code the E/M separately.

 

[katerock1]

right, unless a separate E/M service was provided, not related to the surgery.