![]() ![]() This additional payment is for the catheter and the office expenses. The non-facility fee, or office fee, is $65.88. Look up 51702 in AUACodingToday, scroll down to “fee schedule,” and look at “facility fee.” The national payment is $27. When you’re paid for the procedure in the office, you are paid a higher fee than when you perform the same procedure at the hospital. In short, consider them as additional information, but do not use this information to guide or change your coding.įor your questions, we “think” it would help to reword your question and then answer with more than a simple yes or no.įirst, is it OK to bill for 51702 in the hospital setting? “Lay” descriptions are helpful to many in understanding what a service or procedure may entail, but these descriptions are not a part of CPT or any other official rule set. ![]() ![]() With our complicated billing system, it is easy to “think too much.” Before we get to the meat of your question, we should issue a warning: Don’t let the “lay terms” sidetrack your thinking. Is this correct? Or is there a modifier that can be added to the 51702 in order for the doctor to bill for the placement? The physician bills for the hospital-visit evaluation and management and CPT 51702, but I think I’m thinking too much because the lay terms of 51702 state the physician supplies the Foley… so it’s still OK for my provider to report the E/M and 51702, and the hospital will bill for the supplies only. During the consult, the doctor places the Foley catheter. The hospital nursing staff is unable to pass the Foley catheter. Our doctor is called to consult on a patient in urinary retention. ![]()
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