tci ED Coding & Reimbursement Alert - 2000 Issue 12

Reader Question: Starred Procedures

Question: Please explain a starred procedure and how it would affect billing that procedure when performed in the emergency department. Also, what does not billing starred mean in the same instance, especially now with APCs? Warren CooperThomasville, Ga.Answer: Starred procedures are surgical procedures that do not include preoperative and postoperative packaging in the cost of the procedure. When the starred (*) procedure is carried out at the time of an initial visit (new patient) and this procedure constitutes the major service at that visit, procedure number 99025 (initial [new patient] visit when starred [*] surgical procedure constitutes major...

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