Wiki 21235 and 14061 billed together ASC fee

MichaelGA

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When I look at the ASC Final Covered procedure list 21235 shows $2176.10 and 14061 shows $797.93. 21235 typically denies when billed with 14061, but on any claims in which it is paid, it is always reduced and not paid as the primary procedure. I must be missing something...
 
Are these Medicare payers processing this way, and the facility is credentialed as an ASC and not outpatient hospital? If so, then that does sound incorrect. Under Medicare ASC, both procedures are payable, and 14061 should reduce as the secondary, as I understand it.
 
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