Q&A: Charging for RF generator usage

Q: My team has asked me to look into charging for RF generator usage, which is about $850.00 per procedure. Is this something we can or should capture in the chargemaster? This is a machine used for spinal pain procedures. No HCPCS or CPT code attached.

A: For our hospital, we do not charge separately for purchased or rented equipment that is used during a surgical procedure. We consider it part of the overall “360 rev code/class charge.” We would, however, look to see if the additional cost of the equipment warranted an increase in our class charges, which are charged to the patient based on total time in the operating room. With our operating room procedures, we only charge separately for medications, disposable medical-surgical supplies, and implants. It all depends on what your charge capture policy is.

Editor's note: This question can be found in the Chargemaster & Charge Capture category on the NAHRI Forums where you can find answers to questions on a variety of topics from billing and claims to compliance to reimbursement.