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Rotating patient 180 degree

  1. #1
    Default Rotating patient 180 degree
    Medical Coding Books
    Has anyone heard if you can bill for rotating a patient 180 degree and getting paid for this service. I had a physician ask if I knew about this. He says he thought we could bill 1 extra unit. If anyone knows please let me know.

  2. #2
    You can't separately report for rotating a patient. The ASA Relative Value Guide states that unusual positioning should be valued at 5 base units or more. So, if your anesthesia code selection is valued at 5 or more base units, you're already getting paid for the unusual positioning. If it is less than 5 base units, you can attempt to get additional reimbursement via letter accompanying claim or an appeal but it is generally not successful. Hope this helps. --Sam

    Samantha S. Mullins CPC, CPC-I, ASC-AN, MCS-P
    Coding Manager, BPO
    DST Health Solutions
    2500 Corporate Drive
    Birmingham, AL 35242
    205.437.6261 (Direct)
    205.903.1244 (Cell)
    205.437.6581 (Fax)

  3. Default
    Samantha is right, only if your units value is lesser than 5 (e.g. 00126=4), you can override the units to 5, append mod. 22 and put a msg on box 19:unusual position.


  4. #4
    Thank you both, I will let the physician know that.

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