• 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 58120 denied

coders_rock!

Guest
Messages
410
Best answers
0
does anyone know if 58120 can bill with 58145?

Thank you!
 
According to the NCCI edits, 58120 is bundled into 58145 with 58145 being a more extensive procedure. However, the pair has a modifier indicator of 1 which means "modifier allowed; billed services may be justifiable for the code combination (For comprehensive/component pair, use modifier on column 2 code; for mutually exclusive pair, use modifier as appropriate)."

Hope this helps!
 
I agree with NCCI totally bundling 58120 on to 58145 which is a major procedure with the same approach and as an open procedure. No other option.
But if D&C performed by hysteroscopy and the 58145 also done , then that d& c of hysteroscopy 58558 should be reported separately.
 
Top