Wiki ASC G0260/77002

[KoBee]

Hello everyone -

Our practice codes and bills for our surgery centers (ASC) in UB and 1500, billing dept has been getting denials for CPT 77002 as bundled on UB. But LCD for G0260 states " For ASC facility claims only: G0260 must be billed with fluoroscopy (77002) or CT (77012)".


So should our billing dept not be billing CPT 77002 or should we at least have it on the claim with $0.00. Confused, but i would like to know if anyone else is getting these billing concerns and how can I help our billing dept or are we interpreting the guidelines incorrect.

Appreciate any help.

 

[nsteinhauser]

77002 has a payment indicator of "N1", meaning it's not covered in an ASC. But the LCD clearly states to include it with the G0260 if fluoroscopy was used.
Maybe an accounting/policy question for the individual ASC. On non-covered services, does the ASC still want the service billed and at full price?