Facility Charges for ASC, HOPD and Hospital

Below are 2021 charges for Code 29848 and 64721. Reimbursement Information Wrist Endoscopy / Surgery Carpal Tunnel Surgery (Open) CPT™ Code: 29848 64721 PFS Relative Value Units: 15.12 12.37 Medicare Allowable (Physician Services Fee): $490.04 $446.43 Facility Fee Payment Weight: ASC: 14.7803 16.6878 Facility Fee Reimbursement: ASC: $723.53 $796.79 Facility… Continue reading

Reimbursement Guidebook for IOECTR, WALANT and OBS

As promised this is an in-depth look into IOECTR, WALANT, and OBS. It was updated Sept 2, 2021 My goal with this guidebook is to provide information on how to set up and be fairly reimbursed for In-Office Endoscopic Carpal Tunnel Release (IOECTR). In other words, how to set up… Continue reading

What is a Site of Service Differential?

This is the different total reimbursement, including both the Professional fees paid the the Physician and a separate payment paid to the facility (ASC, hospital outpatient, or inpatient hospital). It is described with RVU’s, explained in more detail here. Some 90-day surgeries do not have a Site of Service Differential… Continue reading

What is an Office-Based Surgery (OBS)?

Surgeries can be performed in different Places of Service (POS) Office: POS=11 Ambulatory Surgery Center: POS=22 Hospital Outpatient: POS=24 Hospital Inpatient: POS=21 Many minor surgeries such as biopsies, lesion removals and simple sutures are 10-day global procedures and routinely performed in the office. Typically a facility is used when the… Continue reading