What is Defined as “Operating Room”

August 9, 2018

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

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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