Wiki 58120 denied

coders_rock!

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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.
 
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