Results 1 to 6 of 6

Global Billing in ASC

  1. #1
    Default Global Billing in ASC
    Medical Coding Books
    Please help,

    Our physician owns the equipment at an ASC and wants to do global billing is this possible? The ASC is billing for the supplies.

    We are billing for prostate seed implants. Does anyone know how to bill for the C2638 in this setting globally for the physician?

    Also, should we bill on a HCFA 1500 or UB92 form?

    Any help would be appreciated greatly.


  2. #2
    Does your physician receive any monies for the equipment that he owns from the ASC? In other words, does the ASC pay him for the rental of or the like? Is the ASC currently billing out for the -TC of that equipment for other providers that use it?

    What codes are you currently billing for the seed implants (all codes--55875, 76965, 77778, etc)

    If you are billing for a physician then you should be using the CMS 1500.
    UB 92's are for facility billing.

  3. #3
    Default Global billing ASC
    Our physician owns the equipment and the ASC will not use the equipment for any other provider. We receive no money from the ASC. The ASC is only charging for surgical suite time for the procedure, a flat fee.

    We will be using 77778, 76965, 77263, 77332, 77328 or 77295 post plan, 77300, 77470, 76873 volume study.

    But I was wondering if we could bill for the suplly of the seeds C2638? I know they are reimburseable to a hospital or ASC, but what about the physician billing globally as we will?

    Thanks for your help previously,


  4. #4
    hmm tough one because "equipment" is considered part of the global reimbursement for ASC's. The ASC, in my opinion, should be giving him a portion of the reimbursement they are receiving. Perhaps he should enter into a contract for reimbursement??

    On the seeds, again, I would "think" that you should be able to submit the
    C2638 to the carrier.

    Sorry I know this isnt much help

  5. #5
    Default global billing ASC

    When you say reimbursement what do you mean exactly. From what I understand the ASC will only be billing for things like needles, catheters, surgical supplies, etc.. No CPT codes.

    We own the afterloading brachytherapy machine and also the ultrasound guidance machine. So the ASC will not bill anything other than supplies. We have not currently done a procedure at this ASC yet, but we will starting in August.

    I appreciate your help and you have been very helpful. If you have any other suggestions I would appreciate it.


  6. #6
    that would be most unusual. ASC's "typically" charge a facility fee (which is done via CPT code) which includes all of those supplies, equipment, OR, PREOP, post op etc. I'll send you my contact info via private message.

Similar Threads

  1. ASC Global question
    By Valerie1 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-17-2015, 11:32 AM
  2. Global Periods in an ASC
    By amanuel in forum Outpatient Facilities
    Replies: 5
    Last Post: 03-14-2014, 08:50 AM
  3. Need help w/ ASC Billing!
    By NKenner in forum Billing/Reimbursement
    Replies: 3
    Last Post: 04-16-2012, 11:31 AM
  4. ASC Billing
    By palatnik701 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 12-01-2011, 03:57 PM
  5. PA Billing out of an ASC?
    By Jen Verlinda in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-12-2010, 04:55 PM

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.