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Endovenous Laser Ablation - For ablations done in our building

  1. #1
    Default Endovenous Laser Ablation - For ablations done in our building
    Medical Coding Books
    For ablations done in our building we would be considered NON-FACILITY.

    Medicare reimbursement 2011 CPT 36478 - $1361.09

    Medicare reimbursement 2011 CPT 36479 - $388.56

    My understanding is that this includes the surgeons price, imaging guidance and monitoring, & laser. And we cannot charge an additional facility fee.

    ????

  2. #2
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    Tacoma, WA
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    Quote Originally Posted by CARESBEAR View Post
    For ablations done in our building we would be considered NON-FACILITY.

    Medicare reimbursement 2011 CPT 36478 - $1361.09

    Medicare reimbursement 2011 CPT 36479 - $388.56

    My understanding is that this includes the surgeons price, imaging guidance and monitoring, & laser. And we cannot charge an additional facility fee.

    ????
    Non-facility generally means a freestanding clinic, not part of a hospital facility. You are correct the pricing includes surgeon, imaging guidance, monitoring and laser. I don't know about the facility fees, many of those are regulated at the state level and Medicare does not pay facility fees for office-based procedures.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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