HOPD Billing

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

gaspasser127

Full Member
7+ Year Member
Joined
Apr 19, 2016
Messages
360
Reaction score
307
My understanding is that in the HOPD setting we are only paid for the highest billing code if multiple codes are billed in the same procedure encounter.

My question is:

- is only the facility fee limited to the highest reimbursing code or is the physician fee as well?
- if you do a 2 level lumbar TFESI, do you only get paid for the first level?
- if you’re compensated for RVUs would you still be able to get RVU credit for both levels?

Members don't see this ad.
 
Top