Wiki HSG facility billing question

[lbpalladino]

We are having trouble getting blue cross to pay out surgical center fees for hysterosalpinograms. Other insurance companies are paying the facility fees separately from our provider fees (billed out of the provider practice billing system). Has anyone else experienced this? We are not understanding why. Should we be billing different codes? Curently we are just billing 58340 with POS 24. Should we also be billing 74740? If so, is there an associated revenue code for 74740?
Any help or response would be greatly appreciated.

 

[nielynco]

We are having trouble getting blue cross to pay out surgical center fees for hysterosalpinograms. Other insurance companies are paying the facility fees separately from our provider fees (billed out of the provider practice billing system). Has anyone else experienced this? We are not understanding why. Should we be billing different codes? Curently we are just billing 58340 with POS 24. Should we also be billing 74740? If so, is there an associated revenue code for 74740?
Any help or response would be greatly appreciated.

What are your denial messages telling you? You would only bill 74740 if the interpretation and supervision of this procedure was performed by hospital staff. This code includes both supervision and interpretation so you could only bill for the technical component as a facility in some cases as this procedure is performed at the same time as the 58340. If the operating MD did the interpretation, that would leave you with the technical component and use of the equipment. Many times, it might be bundled with 58340 for the facility as part of the surgical center fee you were reimbursed for the procedure itself.