Wiki Endovenous Laser Ablation - For ablations done in our building

[Caresbear]

For ablations done in our building we would be considered NON-FACILITY.

Medicare reimbursement 2011 CPT 36478 - $1361.09

Medicare reimbursement 2011 CPT 36479 - $388.56

My understanding is that this includes the surgeons price, imaging guidance and monitoring, & laser. And we cannot charge an additional facility fee.

????

 

[ajs]

For ablations done in our building we would be considered NON-FACILITY.

Medicare reimbursement 2011 CPT 36478 - $1361.09

Medicare reimbursement 2011 CPT 36479 - $388.56

My understanding is that this includes the surgeons price, imaging guidance and monitoring, & laser. And we cannot charge an additional facility fee.

????

Non-facility generally means a freestanding clinic, not part of a hospital facility. You are correct the pricing includes surgeon, imaging guidance, monitoring and laser. I don't know about the facility fees, many of those are regulated at the state level and Medicare does not pay facility fees for office-based procedures.