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Wiki J1078 Billing

Thread starter Melodyt1
Start date Jan 20, 2019

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Melodyt1

Guest

Jan 20, 2019

I have a question about CPT 60728 when given in a physician owned single specialty ASC. The procedure code is being billed through the ASC and the drug J1078 and the professional fee is being billed through the practice. The drug is being "provided" by the practice (the practice incurs the expense). This seems somewhat like "double dipping". Can anyone provide some guidance or explanation?

thanks.

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