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Facility OR Charges Separated into Multiple Procedure Codes

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Michele:
Testimonials have to come from current or past clients.  I'm not sure how anyone on the forum can help with that.

Do you have any clients you can ask?

Harry_Ida_Kearns:
I am pretty sure they are CPT codes.  The procedure codes are the ones above- 23430, 9824, 29823, along with codes for supplies, anesthesia, room and board, etc. The physician owner of the facility was confused when he saw the charges too- he didn't understand why the procedure codes were on the facility bill, he thought they would only be on the professional services bill.

Michele:
OK, so the 23430 and 29823 are cpt codes but the 9824 is not a valid rev code or cpt code so I'm not sure what that one is.  When doing facility billing you are billing for the use of the facility.  Usually that is done by using a rev code such as 0360 which is General Classification - OR Services.  Then the cpt code for the procedure may be listed in box 44 just as a note as to what surgery was performed.

Let me back up a little.  Is this billing being done on a UB04 or a CMS1500?

Jmojica:
Hi Everyone,
I work at a outpatient facility and the billing is CPT/HCPCS with Rev codes on UB04 or 837i formats. Your charges should be your customary or allowed fee rates. Being that you are a facility with Rev codes, the insurance companies will pay according to the rev codes you enter since it's state driven.
I hope this helps.

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