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Wiki 15823 and 67904 on same eye

ms123

Networker
Messages
62
Location
Dover, PA
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0
We have patients who have the levator resection (67904) and the excision of excess skin/fat (15823) done on the SAME EYE. For Medicare, there is an NCCI bundle, so only one code can be submitted. 15823 has the higher RVU, thus that one should be coded for Medicare, correct? But for COMMERCIAL payers, can both 15823 59 and 67904 59 be submitted? Is there a policy stating any of this?

Any response will be greatly appreciated.
Thank you.
 
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