• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 23552, 23395, & 23120 billed together

Create Wiki
C

coders_rock!

Guest
Messages
410
Best answers
0
23552[LT], 23395[LT], & 23120[LT] were are billed together. 23552 was paid. Under what circumstances would the others be payable? What modifiers can be used?

FYI: There are no bundling issues in CCI.

23552 - Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)

23395 - Muscle transfer, any type, shoulder or upper arm; single

23120 - Claviculectomy; partial
 
As you've stated, these codes are all accepted by CCI & modifier -59 is not required to report these 3 codes together. I would append modifier -51 to the 2 secondary surgical procedures; otherwise, I'd say you're good to go!
 
You must log in or register to reply here.
Top