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Sylvia Posted Fri 02nd of February, 2018 12:03:30 PM
my provider performed a Knee injection at An ASC, got denied on the facility charge because code was bundled, between physician charge and facility, both codes cant be billed on the same day for the same patient, what code do i bill for the ASC?
SuperCoder Answered Mon 05th of February, 2018 07:33:09 AM

Hi,

 

As per CMS CPT code 27370 is status N indicator code. Status Indicator N states Services that are incidental, with payment packaged into another service or APC. CMS states Contractors shall deny services with payment indicators N1. An unlisted code can be used as there is no other billable code for this service.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1616CP.pdf

Hope this helps!

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