AAPC - Back to school
Results 1 to 2 of 2

Thread: Struggling with ASC coding & billing guidelines

  1. #1
    Join Date
    Apr 2007

    Default Struggling with ASC coding & billing guidelines

    AAPC: Back to School
    Pardon me if these questions have been answered in previous threads
    I’m struggling with ASC coding & billing guidelines
    Some of my questions include:
    1. Are Supplies billable if so which ones? My physician is billing A4550 & 99070 on same claim.
    2. Are drugs billable? To be specific J7050, J7070 (actually this is normal saline & D--W) and an infusion code has been billed CPT 96360
    3. ECG- 93042, pulse oximetry - 94760 have also been billed on claim? Can this be billed separately?? Anesthesia was provided for EGD w/biopsy 43239 & polyp removal via snare 43251.
    4. Is a recovery room charge justified X2??

    To me this seems like serious unbundling.... Also kindly direct me to any websites or recommended books that may be of help.

  2. #2
    Join Date
    Apr 2007
    Martinez, CA

    Lightbulb It depends...

    It depends on your contracts. We have contracts that allow us to bill separately for supplies over $50. As you know, dilators adn gold probes are well over $50.

    Medicare is allowing some of the drugs to be billed separately like Zofran and Glucagon. Commercial carriers USUALLY follow Medicare rules.

    The real trick for me is finding good codes for the supplies. The codes the supply company gave me were discontinued in 2005.

    Good Luck!

Similar Threads

  1. Guidelines for E&M billing
    By hmi158 in forum Auditing General Discussion
    Replies: 2
    Last Post: 05-01-2014, 08:41 AM
  2. CRG & coding guidelines
    By kumeena in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 08-08-2013, 12:09 PM
  3. Need Training for ASC Billing & Coding
    By EllieAnn in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-16-2011, 06:29 AM
  4. Asc h&p billing question
    By stephanied87 in forum Employment General Discussion
    Replies: 0
    Last Post: 01-14-2011, 10:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.