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allergy testing

Christine Posted Wed 13th of November, 2013 19:51:25 PM

can an ENT do outpatient allergy testing at the hospital where he is an employed MD? His clinic is hospital owned as well.

SuperCoder Answered Thu 14th of November, 2013 01:32:31 AM

We are working on this.

Thanks,

SuperCoder Answered Thu 14th of November, 2013 01:32:31 AM
With CE.
SuperCoder Answered Thu 14th of November, 2013 13:41:15 PM

Hello! Before we can give you a good answer, I have a couple of questions for clarification.

- You say that the clinic is hospital-owned, but also refer to it as "his" clinic (as in, the physician). Could you explain that please? I'm not sure whether we're talking about one hospital-owned clinic where the MD administered the test, or two clinics/locations (a freestanding clinic and a hospital outpatient dept).

- Did the testing take place in a freestanding hospital-owned outpatient clinic, or in the outpatient dept of the hospital? That can change how things are coded.

Thanks!

SuperCoder Answered Thu 14th of November, 2013 13:41:15 PM
With CE.
SuperCoder Answered Thu 14th of November, 2013 17:23:19 PM

.

Christine Posted Thu 14th of November, 2013 17:51:37 PM

Clarification Outpatient department of the hospital. Thanks

Christine Posted Thu 14th of November, 2013 18:10:26 PM

To add to the question; The MD did allergy testing in the chest pain clinic which is located in the hospital's ER

SuperCoder Answered Fri 15th of November, 2013 17:53:29 PM

Hi,

My Senior editor is working on this.Please be patient.

Thanks,

SuperCoder Answered Fri 06th of December, 2013 17:45:44 PM

Whether your physician can bill for the testing depends on the situation.

Outpatient facility allergy services are covered under APCs (ambulatory payment classifications). If this is a hospital-based outpatient clinic, then you can report the service. An employee of the hospital (including the physician, if that’s the case) can administer the test and the hospital can bill it under the APC.

If you’re coding for a physician practice owned by the hospital, however, the test may or may not be billable. The physician can administer and bill for the service, but his nurse cannot administer the test and bill it as incident-to the physician for services provided in a hospital outpatient facility.

Christine Posted Fri 13th of December, 2013 12:38:20 PM

Thanks

SuperCoder Answered Fri 13th of December, 2013 17:57:51 PM

You are always welcome!

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