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Colonoscopy at Surgery Center

  1. #1
    Default Colonoscopy at Surgery Center
    Medical Coding Books
    I'm billing for the professional component (my doctor) when he preforms a 45378 at an ambulatory surgery center. I'm new at this and have a couple questions:
    1) Would I use place of service 24?
    2) Do I need modifier SG for Surgery Center?

    I bill for colonscopies at the hospital, but I've never billed for colonoscopies done at an ASC and am not exactly sure the difference.

    Thanks in advance for any help!

  2. #2
    Charlotte, NC
    1) yes, place of serv is 24.

    2) no, you would only use the SG mod if you were filing for the ASC on a HCFA.

  3. #3
    Thank you for the information!!

  4. #4
    Charlotte, NC
    Another note, just an FYI, most insurances are following Medicare's lead and not requiring the SG mod anymore.

    Also, UHC's computers don't recognize the SG mod on a HCFA.

    Hence most ins require/ask an ASC to file on a UB form.

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