Results 1 to 5 of 5

Propyphol

  1. #1
    Location
    East Valley, Tempe AZ
    Posts
    44
    Default Propyphol
    Medical Coding Books
    Hi, Still working on getting our ASC open. I was told that 1X a month we will be doing colonoscopies with propyphol (general anesthesia). Would I code this with a modifier 23? Thank you for your help. Lora

  2. Thumbs down
    23 would not apply since it is not unusual; however beware of payors. Medical necessity must be well documented or the ASA will not be paid.

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Are you wanting to add the 23 modifier to the procedure code (ie 45378-23)? Are you wanting to bill for the medication??
    Last edited by mbort; 05-22-2008 at 02:36 PM.

  4. #4
    Default
    The colonoscopies will most likely be done under MAC (monitered anesthesia care) and would not use a modifier 23. Modifier 23 is used for physicians and not ASC facilities and MAC is not unusual for colonoscopies.

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    cconroycpch is correct, I wasnt thinking that far in advance (long week and brain dead). The 23 modifier is NOT an ASC modifier therefore its not even a consideration in that setting.

    thanks cconroycpch

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?

Login

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.