Billing > Billing

codes for a level 2 procedure done at an office

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vhazim416:
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?

Steve Verno CMBS, CEMCS:
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.

Michele:
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

Priyan:
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

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