alexandasia
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Hi,
I have a vascular surgeon who has contracted with a large kidney group. They have some sort or arrangement where when the patient is ready for dialysis my doc is the one putting in the line. The kidney group has their own ASC. My doctor doesn't actually see the patient until the day they are scheduled for their access port. So he has been coding a consult and then the procedure code. 99.9% of the patients are medicare so we have had to convert his codes from consults. Not a big deal, however many insurances are denying the E&M for inappropriate code. Typically the code ends up a 99235. I can't find where any of the observation codes say or don't say they can or cannot be used at an ASC. It's not at a hospital, and it's not at an office so I'm stumped!! Thanks for any input.
I have a vascular surgeon who has contracted with a large kidney group. They have some sort or arrangement where when the patient is ready for dialysis my doc is the one putting in the line. The kidney group has their own ASC. My doctor doesn't actually see the patient until the day they are scheduled for their access port. So he has been coding a consult and then the procedure code. 99.9% of the patients are medicare so we have had to convert his codes from consults. Not a big deal, however many insurances are denying the E&M for inappropriate code. Typically the code ends up a 99235. I can't find where any of the observation codes say or don't say they can or cannot be used at an ASC. It's not at a hospital, and it's not at an office so I'm stumped!! Thanks for any input.