mqs31@msn.com
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I am trying to code a hand/finger surgery in which the surgeon did a release of tendons. Its on the right hand and each finger had 2 tendons, except the thumb which only had one. I have coded by just using 9 units and received a denial and I have also listed each tendon with a finger modifier (F1, etc.) and with a 51 modifier on the second tendon of each finger. It was also denied this way by Medicare. The denial is CO-151 which states payment adjusted because payer deems the info. submitted does not support this many/frequency of services. This isn't a common procedure but hopefully someone can share with their input. Help!!