Coding for the Surgery Center Component of a Pain Management Procedure

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Paul Cadorette CPC, CPC-H, CPC-P, CEDC, COSC, CASCC, is director of education for mdStrategies.
 
Q: We’re in an office with separate procedure room that was just accredited as an ambulatory surgery center. We’re performing pain management procedures and coding for the procedure under the physician and the anesthesia that’s being used under the anesthesiologist. What code(s) should we use for the facility (ASC) component?

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By: Staff

 

Paul Cadorette: Use the same codes as the physician, except for fluoroscopy. If the facility owns the equipment, bill fluoroscopy with a -TC modifier (technical component): 77003-TC.

 

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The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.

 

Read more insight from Paul Cadorette:

 

– 5 Changes to CPT Codes in 2011

 

– General/Plastic Surgery Coding Facts

 

– Coding for Screening Colonoscopy When There is Rectal Bleeding: Q&A With Paul Cadorette of mdStrategies

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