Medical Billing Forum

Billing => Billing => : vhazim416 August 06, 2009, 03:44:39 PM

: codes for a level 2 procedure done at an office
: vhazim416 August 06, 2009, 03:44:39 PM

Please i need help? I am a biller that works for an orthopedic doctor and he is going to start doing some procedures in the office at a level 2 (OSR) and i don't know what code to bill for the office room and supplies?

: Re: codes for a level 2 procedure done at an office
: Steve Verno CMBS, CEMCS August 08, 2009, 04:23:40 PM

We dont know what procedures were performed.

If you arent a coder and there is a significant and separate office visit, I suggest having your doctor code for an evaluation and management level.

Supplies used may be included in the procedure or office visit.

: Re: codes for a level 2 procedure done at an office
: Michele August 09, 2009, 12:43:21 AM

If the provider is not established as an ASC, or a facility of some sort he may not be able to bill for the office room and supplies.  Office procedures include those charges.  But if he is established as a facility then the office room & supplies needs to be billed on a UB04 form with rev codes.

Michele

: Re: codes for a level 2 procedure done at an office
: Priyan October 03, 2009, 06:58:06 AM

vhazim:

  In addition, if your Dr is going to perform any procedures or services other than an Visit

ensure you are using Modifier 25 for the Visist with diagnosis pointer difference

Thanks
Priyan.D