AAPC - Back to school
Results 1 to 4 of 4

Thread: EGD in Physicians office

  1. #1

    Wink EGD in Physicians office

    AAPC: Back to School

    if EGD is done in the physician's office not at the surgery center, beside EGD code what can we use to charge instrument, tray and handling.
    If done at the surgery centre, these are billed by facilitiy. If done in the office, what else can we charge. Thank you for your help

  2. #2
    Join Date
    Apr 2007

    Default Egd

    You can either bill A4550 or 99070 for the supplies/surgical tray. The trick is who is going to pay it. Many carriers increase their allowable for the EGD depending on what place of service you listed on the claim. Then in that case they will deny the surgical tray code as included in the EGD, and that would be correct.

  3. #3
    Join Date
    Apr 2007


    Because you are doing them in your office instead of a facility, the reimbursement is higher to offset those expenses.

    For instance:

    43235--done in office--RVU's 7.81
    done in facility-RVU's 3.76

    Your reimbursement is double.

    just my two cents

  4. #4


    thank you. It makes a great sense.

Similar Threads

  1. Billing Pathology charges done in a physicians office lab
    By jessica_hall1 in forum Pathology & Clinical Laboratory
    Replies: 3
    Last Post: 05-28-2015, 03:15 PM
  2. Hospital Owned Physicians office
    By ahoward in forum General Discussion
    Replies: 21
    Last Post: 01-07-2015, 09:21 PM
  3. CPT Code for physicians reading Strobs in the office
    By MYRNA21 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 01-24-2013, 06:31 PM
  4. PA Billing in a physicians office
    By lmcintyre in forum Medicare Regulations
    Replies: 1
    Last Post: 02-14-2012, 10:00 AM
  5. billing for surgical suite in physicians office
    By ccambpell in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-10-2011, 10:10 AM

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?


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.