Yes, exactly as @
jkyles@decisionhealth.com stated, if you are performing the services in office, then you are not a facility. When you look up RVUs and fee schedules for codes, there are different values for many codes depending on whether they are performed in a facility vs non facility. That difference is designed to reimburse the practice for the "practice expense" of doing the procedure in office. There are some codes that performing in office makes little difference in payment, yet incurs additional expense. Or some codes where the difference doesn't even cover the cost of the disposable equipment you use. You can make a business decision as a practice as to whether or not you are willing to perform those procedures in your office.
If you are truly creating a facility, there are a lot of rules and regulations. They vary significantly by state. For Medicare, you can only be a facility if you meet Article 28 guidelines (which an office will not). Many commercial carriers follow this same guidance. If (HUGE IF) the carrier allows you to credential as a facility, you would need a separate business, certification, and again coverage could vary widely based on payor. I suggest legal, compliance and accounting advice at a minimum. Way beyond the scope of knowledge for a coder.