Wiki Vitrectomy and cataract bundled on facility claim?

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HEakin

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A new MD has had a couple unplanned vitrectomies while performing cataract surgery. Can the vitrectomy be unbundled and billed on the facility (not prof) claim since he is an employee of the practice, not an owner? The doctor who owns the ASC asked and I honestly don't know, any assistance and direction to guidelines will be appreciated. Thanks!
 
Additional questions/comments...when I was obtaining my COC last year through AAPC I had posed a question regarding reporting/not reporting of procedures based on some of the things I had been seeing in the facility I had been with at the time. The AAPC contact I had queried at the time had advised that for tracking purposes, all procedures performed whether reimbursable or not, should be billed for. So I just question if it's more appropriate to submit all performed procedures (planned or unplanned) and perhaps zero out the charge for what may be non-reimbursable, or perhaps add an appropriate modifier that indicates awareness a charge may not be paid? Again, thinking out loud based on previous conversations with coding specialists and honestly just wondering. I feel like submitting all procedures performed creates a more accurate representation of a patient's health status and treatment. Also, what happens then if a complication arises from an unplanned procedure performed that was not reported? Wouldn't that create a larger issue? Follow up question regarding unplanned procedures and informed consents...don't consents usually include a clause for additional/changed procedures intraoperatively if the physician deems it necessary once they're actually in there? Just hoping to provide additional perspective...I actually have the billing of unplanned anterior vitrectomy question popping up which caused me to research. Thank you!!
 
When billing the professional component of surgery we add a claim line for all procedures even when we zero charge something that would not be reimbursable.
 
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