Actually that is not a true statement for a freestanding ASC. I would run the risk of unbundling a procedure. If it is not considered to be on OPPS passthough status and I bill for it it could put me in alot of trouble with Medicare and flag an audit. CPT 77003 while billable for a hospital in accordance with CPT 62267, 62270-6282. 62310-62319 CPT 77003 is not on the OPPS pass through status for a free standing ASC so not billable As far as I can tell. I can for statistic purposes add a modifier GY. Most "extras" ie supplies, injections, Implants are considered to be included in the reimbursent for the procedure performed. There are a few that are on pass through status but not many.
Mostly I don't want to be billing for items that would make medicare ask, now why would this office think that they can bill for this and what else are they billling for that the "ought not to be"
So I guess what my problem is, is that I can't find any hard document that says its ok for me to bill a 76496 with an ORIF. with out that evidence to have in my hot little hand it make me nervous to "ass-u-me" that it is ok.