Question:
I code visits to an ambulatory surgery center (ASC), and one of my otolaryngologists wants to use 69990. When should I use this procedure code? Florida Subscriber
Answer:
In an ASC, you will never be able to bill microsurgery. CMS assigned +69990 (
Microsurgical Page 86 Get CPC® certified in 4 days -- CodingCert.com 2009, Vol. 11, No. 10/
Otolaryngology Coding Alert techniques ...) a payment indicator of N1 (
Packaged service/item; no separate payment made), meaning the surgical procedure always includes the microdissection.
This shouldn't be much of a surprise. Code +69990 tends to be bundled into most ENT codes, regardless of location.