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multiple procedures

  1. B

    Wiki Multiple procedures help/Ca Medi-Cal

    Does anyone from California bill Medi-cal (specifically CHCN) for the following procedures? They want to pay the percentage as follows. I thought the turbinate, sinus, and septum surgeries should allow 100% respectively, then the bilateral side should pay for 50% How ins wants to pay: 30520...
  2. J

    Wiki Multiple Procedure Payment Reduction

    Does anyone have a link to written documentation regarding multiple procedure payment reduction for surgeries 3-5 performed same day being reduced to 25% of the fee schedule? I am struggling to find documentation I can provide to my provider who is questioning if this is accurate reduction...
  3. N

    Wiki Multiple Procedures

    Patient presents for neoplasm of uncertain behavior x3 left lateral and medial canthi and upper eyelid. left lateral canthus: 2.5mm x 2.0 mm, intermediate repair left medial canthus: 2.0 mm, intermediate repair upper left eyelid margin punctured w/ sharp and drained of fluid 2 biopsies sent...
    • nicoleysmith
    • Thread
    • 11440 11440-59 12051 12051-59 derm dermatology multiple procedures
    • Replies: 2
    • Forum: Dermatology
  4. S

    Wiki Multiple Units of One Code??

    I'm trying to code for gouty tophi excisions done on multiple fingers and can't figure out how to do this... The code I found to use is 26160 (if you have a better one for gouty tophi then by all means correct me). The doctor performed the excisions on the left index, middle, and ring fingers...
  5. K

    Wiki Occupational therapy partial denial on multiple codes

    I am new to billing occupational therapy codes and received a partial denial for the 2nd and 3rd codes for 1 visit. Denial on claim is as follows: 59 - Charges are adjusted based on multiple surgery rules or concurrent anesthesia rules. I am billing 97110, 97530, and 97535 with a GO modifier...
  6. C

    Wiki How would you code screen colon done in asc and hemorrhoid banding done in office

    Our MD did a screening colon on a patient in our ASC and found hemorrhoids so brought the patient back to our office to do a hemorrhoid banding on the same day. I HAVE NO IDEA WHY HE DIDN'T BAND THEM AT THE ASC (we have done that many times)!!!! They are different POS (24 and 11). The banding...
    • cedwards
    • Thread
    • banding global period help!! multiple procedures separate pos
    • Replies: 0
    • Forum: Gastroenterology
  7. M

    Wiki Multiple Procedure Help, please! - We had a patient in our office

    Hello! We had a patient in our office who had multiple procedures done in one day and we are stumped on how to code this. The patient received a TDAP vaccine and we administered it. The patient also had 3 skin tags removed, 2 of which are biopsies. This is what we are billing: 90715 TDAP...
    • MandyBMC
    • Thread
    • modifiers multiple procedures skin tags vaccine
    • Replies: 3
    • Forum: Modifiers
  8. A

    Wiki 17000 and 11602: Mutually exclusive: help!

    Three separate lesions. Two classic SK were frozen and a third suspicious spot was excised. Path report returned inflamed SK. Coded 11602 - L82.0, 17000-59 L82.1 17003 L82.1 I am getting a CCI edit for 17000 and 11602 as mutually exclusive. First question, is inflamed...
    • allenm
    • Thread
    • 17000 dermatology multiple procedures mutually exclusive seborrheic keratosis
    • Replies: 10
    • Forum: Dermatology
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