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Facility Fee on L-Spine Injection?


Best answers
Is there any way to capture a "facility fee" for an lumbar spine injection (62311) when performed in an office setting? I have a doc that wants to bring that procedure in-house (as opposed to the ambulatory surgery center across the street), because we are getting our own fluoroscopy machine. Other than the global fluoro fee, I don't think there's anything extra that we can capture. I told him that under Medicare, the reimbursement for the injection procedure would be higher in an office, but that's it. Am I right?

Please advise. Thanks.



True Blue
Columbia, MO
Best answers
The "facility fee" is part of the procedure code, billing with POS 11 will allow you to capture the overhead portion of the procedure, you are correct.