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Radiofrequency w/CS done in office

  1. Question Radiofrequency w/CS done in office
    Medical Coding Books
    Hi. We have always done radiofrequencies involving conscious sedation in an ASC, but are considering doing them in-office. Is anyone out there already doing this, if so - are their any special office certifications needed prior to? Plus any other information would be greatly appreciated. Thanks.

  2. #2
    Default
    We do RF in the office all the time. There are no special needs that I am aware of. We don't do conscious sedation though, so I don't know if that changes anything.
    Walker Bachman, CPC, CPPM

  3. #3
    Location
    St. Joseph County, Indiana
    Posts
    101
    Default
    I have worked with a dozen pain clinics in Indiana, Michigan and Illinois.

    RF with conscious sedatin depends on your state.

    New York, Indiana and Michigan require your office to be accredited (AAAHC, JACHO, etc) to perform "moderate sedation" in an office setting.

    In addition, it is VERY difficult to be reimbursed for the RF needles and you can't bill for rental of an RF generator.

    Brock Berta, CPC

  4. Question
    Thanks for the info...I do believe we also must be certified in Ohio to do RF's with CS...if we do RF's (without CS) in the office is there anything aside from the RF that is billable? I would assume the RF generator rental would be included in the RVU's for the procedure performed in Office.....

  5. #5
    Location
    St. Joseph County, Indiana
    Posts
    101
    Default
    Billing for RF in the office looks something like:

    64626-50
    64627-50
    64627-50
    77003
    A4550 - Surgical Tray
    A4215 - RF Needles
    Q9966 - Trace dye (if used)
    94761 - Pulse Ox (if used)
    93005 - EKG Monitoring (if used)
    (93005 and 94761 can't be billed if you used 99144)

  6. #6
    Location
    St. Joseph County, Indiana
    Posts
    101
    Default
    Also, when you say "certified" do you mean accredited? Indiana just went with the ruling that any provider who performs anesthesia in an office setting must be accredited by JACHO, AAAHC, etc. Is this the same for Ohio?

    Brock Berta, CPC

  7. Smile
    Quote Originally Posted by brockorama01 View Post
    Also, when you say "certified" do you mean accredited? Indiana just went with the ruling that any provider who performs anesthesia in an office setting must be accredited by JACHO, AAAHC, etc. Is this the same for Ohio?

    Brock Berta, CPC
    YES...I meant accredited in what I was referring to. We have pulled the info on this from the Ohio Administrative Code. I also wonder why he would actually need to do these with CS, as the local seemed to work just fine....

    Thank you for all the info....Gina

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