The Drs. I work for are going to begin performing the VNUS procedure in an ambulatory surgical center (ASC) which we are unafilliated with. The ASC is going to bill the facility fee for 37202 and 36011. Our Drs. are going to bill the physician fee for 37204, 36011, 75894, and 93971. The original agreement was that the ASC would bill the physician fee for 75894 and 93971 and we would recoup this after the fact. It was going to be done in this manner as I was informed that in an ASC setting our physicians could not bill the physician fee for 75894 and 93971. A subsequent call to the American College of Surgeons billing hotline informed me that we could indeed directly bill for 75894 and 93971 even in an ASC environment. I this correct.
We are also looking to do this same procedure in a hospital outpatient setting (Medicare patients). Can we bill the physician fee for 75894 and 93971 in the same manner as described in the ASC or does the hospital have to bill and we would recoup the fee after the fact. In a related issue, if our off-site office based Lab performes vascular studies on hospital inpatients can we bill for both the professional and technical component. I have been told that in this situation we can only bill for the professional component. Imput, answers and sources would be greatly appreciated.
37204 Transcatheter occlusion or embolization...any method
36011 Selective catheter placement, venous system...
75894 Transcatheter therapy..any method..sup and interp.
93971 Venous Duplex (unilat)...
Hank Arellano, RVT
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