Reader Question:
Primary and Add-On Codes Always Go Hand-in-Hand
Published on Fri Jun 17, 2011
Question: I'm new to coding, and I still don't get add-on codes. What is their main function? Could you give an example that applies to pulmonology?Texas SubscriberAnswer: The main function of add-on codes is to support a primary service that the physician or other health care professional has rendered. These codes are reimbursable when you report in addition to the primary code. It's easy to spot an add-on code in your CPT® manual: just look for a plus sign (+) symbol to the left of the code. A phrase in their descriptors would also remind coders to "List separately in addition to code for primary procedure."A typical add-on code for pulmonology is +31633 (... with transbronchial needle aspiration biopsy[s], each additional lobe [List separately in addition to code for primary procedure]). You would use this code when a pulmonologist obtains a transbronchial needle aspiration (TBNA) of a lymph node from [...]