Ambulatory surgery center coding guidelines

    • Answer Key - Introduction to Clinical Coding

      The surgeon performed a tonsillectomy and adenoidectomy on a 25-year-old male. Four hours after leaving the surgery center, the patient presents to the clinic with a 1-hour history of bleeding in the throat. The bleeding site was located; however, it was in a location that could not be treated outside the OR.

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    • [DOC File]NEW JERSEY ADMINISTRATIVE CODE - State

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_f524aa.html

      6. CPT codes 99148 through 99150 are only reimburseable when a second physician other than the provider performing the diagnostic or therapeutic services provides moderate sedation in a facility setting (for example, hospital, outpatient hospital/ambulatory surgery center or skilled nursing facility).

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    • [DOCX File]Office of Billing Compliance - March 2016 - Miami

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_8180f1.html

      Coding guidelines for an LCD (when present) may be found by selecting Attachments in the Section Navigation drop-down menu at the top of the LCD page. ... 2016 there are changes to billing instructions for various payment policies affecting Ambulatory Surgical Center (ASC) payment system update. ... 2016 at 8:00am LPLC 7th Floor-Neurological ...

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    • [DOCX File]HL7 v2 Data Requirements and Pre-work - WVHIN

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_08b50c.html

      HL7 v2 Data Requirements and Pre-work. Hospital/Provider Name, ST. Participant Pre-work. Audience: The Executive Sponsor, Project Manager, End User, and EHR Interface Engineer should collaborate to complete the Pre-work and Coded Values sections of this document.

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    • ADT Category Codes List

      Ambulatory Surgery: Code the diagnosis for which the surgery was performed as the principal diagnosis. If the postoperative diagnosis is known to be different from the preoperative diagnosis at the time the diagnosis is confirmed, select the postoperative diagnosis for coding, since it is the most definitive.

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    • [DOC File]Ambulatory Surgical Center Section II

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_39ffad.html

      All details billed (electronically or on paper) by an ASC provider require the modifier SG, “Ambulatory Surgical Center (ASC) facility service.” See Section 242.100 for Dental billing. National Correct Coding Initiative (NCCI) editing applies to all claim submissions. Arkansas Medicaid accepts claims that include national modifiers.

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    • [DOCX File]Medical Services Required Practices Handbook

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_870d9b.html

      Healthcare Common Procedure Coding System (HCPCS) Codes – ... Contact the ambulatory surgery center representative. Verify comparable benefits, if applicable, with the ambulatory surgical center representative to include the specific benefit coverage for the surgery and the expected consumer portion of the cost. ... Refer to Surgery ...

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    • [DOCX File]Rule 16 Utilization Standards

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_fdb608.html

      Ambulatory Surgical Center (ASC) – licensed as an ambulatory surgery center by the Colorado Department of Public Health and Environment. Authorized Treating Provider (ATP) – may be any of thefollowing: The treating physician designated by the employer and selected by the injured worker;

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    • [DOC File]UB-92 Completion: Outpatient Services ub comp op - Coding

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_58351f.html

      76 Clinic – Community Mental Health Center. 79 Clinic – Other. 81 Special Facility – Hospice (non-hospital based) 83 Special Facility – Ambulatory Surgery Center. 86 Special Facility – Residential Facility. 89 Special Facility – Other. Notes: Only one facility type may be billed on each claim.

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    • [DOC File]Official Notice ON-002-19 CPT Codes

      https://info.5y1.org/ambulatory-surgery-center-coding-guidelines_1_08b9cb.html

      Mar 26, 2019 · Any claim adjustments needed due to coding changes will be the responsibility of the provider. Requests for PA revisions should be submitted by the provider to the approving entity. ... Ambulatory Surgical Center (ASC) ... please contact the Provider Assistance Center at 1-800-457-4454 (Toll-Free) within Arkansas or locally and out-of-state at ...

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