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CPT codes in a Procedure Room

  1. #1
    Default CPT codes in a Procedure Room
    Medical Coding Books
    I have a Shoulder, Elbow, Hand surgeon that is asking me if the following CPT procedure codes are paid if done in a PROCEDURE ROOM - not an ASC. I do not know where to find this information. Can anyone direct me please? Thank you for your help! The CPT codes in question are:



  2. #2
    If the procedure room is in the office setting and you have not set it up as an ASC, it is non-facility fee.
    Kelly A Mcfadyen, CPC

  3. #3
    As for the allowed fee, that would be determined by the insurance and the area/jurisdiction as it varies.
    Kelly A Mcfadyen, CPC

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