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ASC PAIN MANAGEMENT

Jill Posted Thu 06th of March, 2014 17:19:31 PM

I was wondering if you could help me with a ASC coding question. We just started billing for our ASC and I have a question regarding the professional fees POS 24. If the procedure 64483 was done in the ASC I know we cannot bill the 77003 due to it being bundled ,POS 24. But I am being told that we can bill it on the professinal side as 64483 ,77003-26 POS 24 on a HCFA. It doesn't seem right if the 77003 is bundled in the procedure to begin with. Do you have any information on this? I do not want to bill it out incorrectly.
Thanks for any help in adavance,

SuperCoder Answered Thu 06th of March, 2014 18:55:47 PM

Where is the service performed? If the procedure is performed in a facility and radiology services are separately reportable, modifier 26 should be appended to the radiology code to reflect the work associated with the professional component only. If the procedure is performed in a procedure room in a physician’s office and radiology is not bundled into the surgical procedure code, the global radiology code is reportable without modifiers.

CPT code 77003 is not separately reportable because the injection code 64483 includes the use of image guidance in the code description. Use of image guidance and documentation of such is key in reporting 64483.

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