tci Outpatient Facility Coding Alert - 2012 Issue 6

Reader Question: Multiple Procedure Discounts Explained

Question: I've been away from ASC coding for a few years, so need to refresh some basics. Can you remind me how multiple procedure reimbursement works in an ASC? Answer: Multiple procedure guidelines come into play when the surgeon completes more than one procedure during the same operative session. Here are the basics: When two or more of the procedures performed during the same session are subject to the multiple procedure discount, the ASC will be reimbursed at the full rate for the procedure classified with the highest payment. Other procedures performed during the same session are reimbursed at 50...

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