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Place of service question

Nikki Posted Tue 25th of October, 2011 19:39:48 PM

A patient came in for a PEG change 43760 in the office. She was unable to get onto the exam room table for the procedure so the physician took her to our ASC side and did the procedure in the bay. She did not use any of the ASC employees, equipment and did not use an ASC room. Can I still use the office as the place of service or should I use the ASC as the place of service?

SuperCoder Answered Wed 26th of October, 2011 14:01:27 PM

A procedure in an ASC room starts with an initial care by a physician of the center to let the patient ready for surgery and postop care in the center itself before leaving ASC. It includes using ASC floor, bay, room, and equipment.
When pt. is treated at a bay, then except usage of bay if everything else is of the Office one, then without using ASC room and equipment, and ASC physician involvement, performing procedure at an ASC bay is equivalent to an office-based procedure one.

Nikki Posted Thu 27th of October, 2011 14:08:34 PM

Thanks a bunch. I couldn't find any specific guidelines any as to what classifies a place of service as a place of service besides the location. I figured my situation was a little different since no ASC equipment was used.

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