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Lumbar Puncture

Sandra Posted Wed 30th of May, 2018 13:33:58 PM
Can a lumbar puncture be done in an office setting and if so would I bill for the procedure ( LP), the surgical tray and office visit? Also does all insurance companies reimburse if this procedure is done in the office versus the hospital?
SuperCoder Answered Thu 31st of May, 2018 05:02:35 AM

Hi Sandra,

Yes, lumbar puncture can be done in office setting. A hospital might relocate employed physicians to a hospital-operated clinic or might obtain provider-based status for the physicians’ legacy office locations. In either case, the hospital may bill a separate facility fee for routine office visits. This means that a patient could visit his/her private physician one week and pay a single professional fee and then visit that now-hospital-employed physician the next week in the same office and receive a bill for a professional fee and a facility fee.
If hospital does not properly disclose the separate clinic fee, then it could violate specific disclosure requirements in the provider-based rules. Hope it helps. Please feel free to ask for any further query.

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