Wiki UB-04 Revenue Code for a Surgical Suite

[abrodskycpc]

Hi all,

I work for a billing company and we have a new client coming on board. They are an Orthopedic group and they have a licensed surgical suite, but its NOT an ASC.

We are struggling on what revenue code to use. I don't think that we should use 490 or 499.

Can any experienced billers help me out?

Thanks in advance!

 

[mitchellde]

Why are they billing on a UB as a free standing office. Even with a surgical suite it is POS 11. An outpatient facility OR is 360 revenue code.

 

[abrodskycpc]

Ah I see. That was my mistake, it wouldn't be on a UB.

360 looks good to me. Thank you for your help! I will run it past my group and see what they say.

 

[mitchellde]

Except you do not use revenue codes on a physician claim. You use the POS as physician office

 

[KathyB5]

UB-04 or CMS 1500 for ASC

physician owned ASC - is it billed on UB-04 or CMS 1500 form for the facility charges?