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Thread: Rotating patient 180 degree

  1. #1
    Join Date
    Apr 2007

    Default Rotating patient 180 degree

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Birmingham, AL


    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. #3
    Join Date
    Apr 2007
    Pasadena, CA


    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
    Join Date
    Apr 2007


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

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