49505 RPR 1ST INGUN HRNA AGE 5 YRS/GT REDUCIBLE
49507 RPR 1ST INGUN HRNA AGE 5 YRS/GT INCARCERATED
49585 RPR UMBILICAL HRNA 5 YRS/GT REDUCIBLE
49587 RPR UMBILICAL HRNA AGE 5 YRS/GT INCARCERATED
49650 LAPS SURG RPR INITIAL INGUINAL HRNA
49651 LAPS SURG RPR RECURRENT INGUINAL HRNA
29877 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
29879 ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
29881 ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG
29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
The professional fee for the procedures identified in the table below will be reimbursed at Medicare rates when the service is rendered in an ASC. To identify that the professional service was done at an ASC, the line item on the claim must use the SG modifier. The SG modifier for professional services should only be used when a hernia repair or a knee arthroscopy is done in an ASC.
Multiple Procedures
When multiple procedures are performed during the same session, the ASC claim should reflect the highest or most complex procedure.
Additional payment is not available for multiple or subsequent procedures performed at the same surgical setting. When multiple procedures are performed, the procedure with the highest reimbursement should be listed first on the claim.
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