Billing > Facility Billing

ICD-9 & HCPCS

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ellie:
Hi Everyone,

We bill UB-04 for ambulatory surgery center. We file electronic. We had a claim kick back and when we called our clearinghouse, they stated that in Box 74 we should not have put ICD-9 code there, that the HCPCS should be there ??????????

Has anyone ever heard of this, and are we doing something wrong, I don't think SO.......... unless this is the
insurance companies request.

Thanks

Michele:
I have not had any claims kicked back for this reason but I did some research on it.  It appears to be requesting the procedure code for the primary procedure.  I don't believe a HCPC's code would be correct but a CPT code for the primary surgery performed.  I would try that and see if that goes thru.  Is it only one claim/carrier that you are having kicked back?  Or all?

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