Wiki Ambulatory Surgery Coding Question.

[elliottcorie@yahoo.com]

I have a patient who had Anterior Tibial Tubercleplasty and Ligamentous Reconstruction of the R Knee. I am wondering do I need to use the Modifier 59 with this scenario. The Codes are 27418 and 27427. Can you help please

Thank You,
Corie Elliott CPC

 

[mlconway]

Im having questions to that same nature in my orthopedic clinic when a procedure is done such as 25600 fracture treatment The bill drops under revenue code 490 which is Ambulatory Surgical Care, Medicaid denies it and the whole claim because of that revenue code. Should I be billing under another revenue code for that procedure code. Someone please help Thanks!!