It is absolutely appropriate for you to bill the procedure with the highest base value regardless of how the surgeon is billing. The way that I think of it is that our docs are providing anesthesia for all of the procedures during the operating session, so any of them are billable from our standpoint. We should always choose the code with the highest base value in order to maximize our reimbursement. Additionally, when I have two different procedures with the same number of units I always choose the one for which I have the best diagnosis.
Hope this helps.
Heather G. CPC
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