Wiki ASC facility Code

[nmomenl]

I am having hard to find the correct code for Use treatment room, Use of recovery room, use of operation room.
I use the following code for Aetna
Z7500: Use of Treatment Room

Z7506: Use of Operation Room

Z7512: Use of Recovery Room

Got denial. any one have any idea. Please help.
Thank You,

Momen

 

[delphinus777]

Was a procedure performed? If so, please read:

ASC Services Included in the Facility Payment.
Facility payments for ASCs include the following services which are not paid separately:
? Nursing services, services of technical personnel, and other related services;
? Use by the patient of ASC facilities including the operating room and the recovery room;
? Drugs, including take-home medications, biologicals, surgical dressings, supplies, splints, casts, appliances and equipment directly related to the surgical procedure;
? Diagnostic or therapeutic items and services directly related to the surgical procedure (including simple preoperative laboratory tests, e.g., urinalysis, blood hemoglobin or hematocrit);
? Administrative, record keeping and housekeeping items and services;
? Blood, blood plasma, platelets, etc.;
? Materials for anesthesia; and
? Intraocular lenses (IOLs).

 

[nmomenl]

ASC Facility billing

Where could I find some document for that. please advise.

Momen

 

[mitchellde]

W, X, Y, and Z HCPC codes and modifiers were deleted many years ago they were known as HCPC level III and no longer exist in the system as valid codes.