decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Ambulatory Surgery Centers / Modifiers for discontinued procedures
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Article Overview
This article covers CMS-related guidance for ambulatory surgery centers and hospital outpatient departments on reporting discontinued outpatient procedures. It is intended for coding and billing professionals who work with outpatient surgical claims and need to understand the applicable modifiers, the settings where they may be used, and the general reporting context discussed in the CPT manual and program memo referenced by the article.
Why This Topic Matters
Discontinued procedures can affect whether an outpatient surgical claim is reported and reimbursed correctly. This article helps readers identify the scope of the CMS guidance, the settings covered, and the code set references involved.
What You Will Learn
- The outpatient settings addressed by the guidance
- How discontinued procedures are discussed in the context of CMS reporting
- Which coding resources are referenced by the article
- The general reporting scope for ambulatory surgery center and hospital outpatient claims
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- ASC administrators
- Hospital outpatient coding staff
Codes Discussed
Modifiers Discussed
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