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.