- Joined
- Oct 23, 2005
- Messages
- 7,210
- Reaction score
- 4,725
In my new practice, the billing department is ok, but not everything I had hoped for. I've already caught a few mistakes, but I'm also not an expert in all aspects of billing.
One of the things I'm going to review with my charges is the consumables such as steroid etc. I know these are small charges, but they do add up over a month of procedures. So here are my questions.
1- I do 2/3 of my procedures in an ASC and 1/3 in an office setting. Can I charge for consumables such as steroid in the ASC or is that likely included in the facility fee?
2- At least in clinic or for office procedures I assume that I can charge for steroid for basically every procedure, correct? ESI, joint injections, nerve blocks, correct?
3- For which procedures can I bill for contrast? (Q9966) Is contrast included with all types of epidurals at this point? what about MBB? or sympathetic blocks? I assume that I can bill it for peripheral joint injections?
4- Can I still bill for Marcaine for lumbar MBB performed in the office? what about for nerve blocks in the office? If so, what is the J code for marcaine in this setting?
If I recall correctly, all these reimbursements are small, though steroid is worthwhile and definitely bigger than contrast/marcaine.
Thanks for your thoughts-
One of the things I'm going to review with my charges is the consumables such as steroid etc. I know these are small charges, but they do add up over a month of procedures. So here are my questions.
1- I do 2/3 of my procedures in an ASC and 1/3 in an office setting. Can I charge for consumables such as steroid in the ASC or is that likely included in the facility fee?
2- At least in clinic or for office procedures I assume that I can charge for steroid for basically every procedure, correct? ESI, joint injections, nerve blocks, correct?
3- For which procedures can I bill for contrast? (Q9966) Is contrast included with all types of epidurals at this point? what about MBB? or sympathetic blocks? I assume that I can bill it for peripheral joint injections?
4- Can I still bill for Marcaine for lumbar MBB performed in the office? what about for nerve blocks in the office? If so, what is the J code for marcaine in this setting?
If I recall correctly, all these reimbursements are small, though steroid is worthwhile and definitely bigger than contrast/marcaine.
Thanks for your thoughts-