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ASC vs Physician coding

  1. #1
    Default ASC vs Physician coding
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    Could someone please let me know that the ASC coding & the Physician coding should be exactly same on the same patient on the same scenario or not ? Please help.


  2. #2
    Yes, in a perfect world that would be the ideal situation, except for some modifiers. If you have 2 different coders, it might not be the case, it should be though. I often talk to the physicians coders on difficult cases, to make sure we have the same.

  3. #3
    I agree with martn, I also do the same thing
    Stephanie Phillips, CPC-H

  4. #4
    I agree with Martn as well. There are also some situations when the codes are different. (IE 29881 w/29877, the physician would bill 29881 w/ g0289). There will also be codes that can be captured on the ASC side but not on physician (ie implants).
    Mary, CPC, CANPC, COSC

  5. #5
    Smile Thanks So Much
    Thanks a lot everyone !!! I really appreciate your help.

    I do GI coding. I do both ASC and Physician simultaneouly. I always did both exactly same except ofcourse like you said with some change of modifiers. I just wanted to make sure that the cpt and icd 9 should always be the same
    or not according to the guidelines. Could you let me know some resources on the web please ?

    Thanks again...

  6. #6
    There is a good article to this regard in the May 2008 issue of the coding edge margazine.

  7. #7
    Default Thanks again..
    I remember there was an article about that, but forgot which coding magazine that was ! I got it. Thanks so much for letting me know.

    Thanks once again...

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