Q&A: Setting a charging policy for disposable instrumentation tools

Q: Are disposable instrumentation tools, those typically used in endoscopic or cardiac procedures, considered integral to the procedure or are they separately chargeable?

A: Typically, these tools are reported separately. Although they are “integral” in the sense that you can't perform the procedures without a biopsy needle or forceps, etc., the type and the number that are used can vary from patient to patient. Some facilities include the charge for one in the procedure and then charge separately for any additional items used. Others charge for the individual items to ensure they capture the cost for the specific patient due to the difference sizes/types, etc. 

Editor’s note: This question was posted in the Chargemaster and Charge Capture section of the NAHRI Forums.