• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Struggling with ASC coding & billing guidelines

Create Wiki
S

ssebikari

Networker
Messages
40
Location
Scotch Plains, NJ
Best answers
0
Pardon me if these questions have been answered in previous threads
I'm struggling with ASC coding & billing guidelines
Some of my questions include:
1. Are Supplies billable if so which ones? My physician is billing A4550 & 99070 on same claim.
2. Are drugs billable? To be specific J7050, J7070 (actually this is normal saline & D--W) and an infusion code has been billed CPT 96360
3. ECG- 93042, pulse oximetry - 94760 have also been billed on claim? Can this be billed separately?? Anesthesia was provided for EGD w/biopsy 43239 & polyp removal via snare 43251.
4. Is a recovery room charge justified X2??

To me this seems like serious unbundling.... Also kindly direct me to any websites or recommended books that may be of help.
Thanks
 
It depends...

It depends on your contracts. We have contracts that allow us to bill separately for supplies over $50. As you know, dilators adn gold probes are well over $50.

Medicare is allowing some of the drugs to be billed separately like Zofran and Glucagon. Commercial carriers USUALLY follow Medicare rules.

The real trick for me is finding good codes for the supplies. The codes the supply company gave me were discontinued in 2005.

Good Luck!
 
You must log in or register to reply here.
Top