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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!
    Nicole

  2. #2
    Location
    Charlotte, NC
    Posts
    534
    Default
    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
    Default
    Thank you for the information!!
    Nicole

  4. #4
    Location
    Charlotte, NC
    Posts
    534
    Default
    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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