Results 1 to 3 of 3

Pain Management in an Office vs In/Out Patient Hospital

  1. Default Pain Management in an Office vs In/Out Patient Hospital
    Medical Coding Books
    One of our physicians is interested in opening a pain management office, independant of our anesthesia practice. He will be billing POS 11-Office. I have expererience in billing PM in POS 22. I know, depending on the payer, I can bill supplies and drugs. What other differences can I expect?

  2. Default
    You can bill J codes for the steroids and other injectables. You cannot really bill for any other supplies. If they do not have a C-Arm in the office and will be doing injections at the hospital, just keep in mind to only bill the professional component (26 modifier) for any fluoroscopy used. The reimbursement is higher for POS 11.

  3. #3
    St. Joseph County, Indiana
    Since you are performing procedures in an office setting you should always try to be reimbursed for supplies you pay for such as J3301, J1040, J0960, Q9966 (fluoro dye), A4550 surgical kit, A4208 for extra needles, 99070 for RF ground pads. For larger procedures you can bill for EKG monitoring and pulse ox.

    Medicare and some payers consider the A codes global but everything else is reimbursed. NOTE: Reimbursement for drugs and supplies is generally low. A realistic goal is to simply break even.

    I work with many pain physicians who work in an office setting very successfully.

    Brock Berta, CPC-A, MBA
    Billing Czar

Similar Threads

  1. Urine Drug Screen in Pain Management Office
    By slenert in forum Billing/Reimbursement
    Replies: 2
    Last Post: 10-13-2015, 10:49 AM
  2. Charge poster/ coder position in pain management office
    By ADETTER in forum Employment General Discussion
    Replies: 1
    Last Post: 09-15-2014, 10:27 AM
  3. office ( POS )sending patient to hospital
    By paula1958 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 06-06-2013, 09:18 AM
  4. Seeking new software for Pain Management office
    By LaVoncye in forum EMR/EHR Systems
    Replies: 1
    Last Post: 02-14-2013, 06:02 AM
  5. Replies: 2
    Last Post: 11-24-2010, 04:45 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.