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Wiki 15823 & 67904 Hot Topic

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ivonneatanacio

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I need a little more clarification on these codes together, A physician preforms A bleph levator resection (67904) and blepharoplasty (15823) bilateral or with E1-E4 modifiers and some payers process the claim. I see that CCI edits bundles states that they are mutually exclusive. I'm trying to find a rational behind this ( I know that Medicare indicated that the two are considered together) I mean a more defined rational. I know that they can be billed separate 59 mod if one is done on one eye and the other procedure done on the other site. But this is all I'm finding.

Does anyone have anything else other than the information that I have? A better rational?




Thanks.
 
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