tci Outpatient Facility Coding Alert - 2019 Issue Q4

Coding Guidelines: Ensure Reimbursement for Terminated Procedures With These Tips

See what circumstances warrant 0, 50, and 100 percent payment. Coding for terminated procedures can be tricky — especially when you’ve got to consider different rules for facility versus physician coding. For those individuals working in ambulatory surgery centers (ASCs), you’ll want to look no further than Chapter 14 of the Medicare Claims Processing Manual (MCPM). In this issue, you’re going to home in on Section 40.4, which will guide you through the process of coding procedures terminated before and following anesthesia administration. Furthermore, you’ll see how the modifier you append will determine what...

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