Same Day Surgery & ASC Coding
MedCodex specializes in coding for ambulatory surgery centers (ASCs) and same-day surgery procedures. Our coders are experienced in the unique requirements of ASC billing, including proper CPT code selection, modifier application, and compliance with the ASC Payment System.
Procedures We Code
- General surgery and laparoscopic procedures
- Orthopedic procedures (arthroscopy, joint injections)
- Ophthalmology (cataract, retinal procedures)
- GI procedures (colonoscopy, upper endoscopy)
- ENT procedures (tonsillectomy, sinus surgery)
- Pain management and interventional procedures
- Urology and gynecology procedures
ASC-Specific Expertise
ASC billing has unique complexities compared to inpatient or outpatient hospital billing. Our coders understand ASC-covered procedures, packaged services, device-intensive procedures, and the specific modifiers required for correct ASC reimbursement.
- CMS ASC Covered Procedures List (CPL) compliance
- Device-intensive procedure identification
- Modifier -SG, -59, -51, -RT/LT application
- Anesthesia cross-coding support
Our Coding Process
- Operative Report Review: Detailed review of surgical notes and pre-op documentation.
- CPT Selection: Accurate primary and secondary procedure coding.
- Modifier Application: Correct modifiers for laterality, multiple procedures, and more.
- QA Review: Independent second-level review of all coded cases.
- Delivery: Coded data returned within 24–48 hours.
Reducing Denials
Incorrect modifier use and bundling errors are the leading causes of ASC claim denials. Our coders use NCCI edits awareness and payer-specific guidelines to ensure clean claims submission, reducing your denial rate and accelerating your revenue cycle.
Why Choose MedCodex for Same Day Surgery Coding?
Frequently Asked Questions
How does MedCodex handle the complexity of modifier usage and bundling edits specific to ASC and same-day procedure coding?
Our coders hold CPC and CCS certifications and are trained specifically in ASC payment systems, including correct application of modifiers such as -59, -73, -74, and -91 to resolve NCCI bundling edits. Each claim undergoes multi-level QA review before submission to ensure modifier accuracy and maximize reimbursement. This process consistently delivers 98%+ coding accuracy across same-day procedure cases.
What does the free pilot for same-day surgery coding involve, and is there any obligation to continue?
The free pilot allows you to submit a defined sample of your ASC or same-day procedure charts, which our team codes using your existing workflows and guidelines at no charge and with no commitment. You receive fully coded charts along with an accuracy and audit report so you can evaluate quality before making any decision. There are no contracts or fees attached to the pilot.
How does MedCodex protect patient health information when handling our ASC coding work?
MedCodex operates under HIPAA-compliant processes and signs a Business Associate Agreement before any charts are accessed. Coders work directly inside your EHR or billing platform via secure remote access, so PHI never leaves your system or is transmitted externally. Access is role-restricted and activity-logged to maintain a full audit trail.
What turnaround time can we expect for same-day surgery charts, and how are high-volume days managed?
Standard turnaround for same-day surgery coding is 24 to 48 hours per chart batch, which supports prompt claim submission and helps reduce your days in AR. For higher-volume periods such as multi-OR days, your dedicated account manager coordinates capacity in advance to ensure the turnaround commitment is maintained. You can discuss specific volume patterns during onboarding to set appropriate expectations.
How is pricing structured for ASC coding services, and can it scale with our case volume?
MedCodex offers both per-chart and FTE-based pricing models, allowing you to choose the structure that fits your volume and budget. Per-chart pricing works well for facilities with fluctuating case loads, while an FTE model may suit centers with consistent high volume needing dedicated coder capacity. Your account manager will recommend the most cost-effective option after reviewing your monthly procedure mix and volume.