dballard2004
True Blue
I have a denial for procedure 21011 for removal of a forehead mass performed in a plastic surgeon's office. The payer denied the claim stating this procedure can't be performed in the office setting. I am curious if there is some sort of designation on the MPFS showing what procedures can be performed in the office vs. those that can only be performed inpatient or ASC. I know designation of "C" is inpatient only, but anything to indicate office procedures? Thanks.