What is Defined as “Operating Room”

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August 9, 2018

Question:
What is considered an operating/procedure room when billing complications with a modifier 78? Does an office procedure room count?

Answer:
According to Medicare, the treatment of complications is separately billable only when performed an approved operative suite which includes an OR, ASC, endoscopy or angiography suite.

*This response is based on the best information available as of 08/09/18.

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