Is it right or wrong to bill the add-on codes that have an N1 payment indicator for the ASC to Medicare? Good example is 64490 which is paid at a higher rate because the additional levels, 64491 & 64492 are included in the "package" rate for 64490.

Does anyone else bill the additional levels even though they won’t get paid? I have read that you should bill them for future rate calculations and I’ve also read that Medicare does not want them billed. I feel it is not unbundling because they are add-on codes and some commercial payers do pay.

:confused: Thanks everyone!