Wiki Bill out 2 hernia repairs or just one with a 22 mod?

serenas

New
Messages
2
Location
Lewis Center, OH
Best answers
0
Has anyone out there gotten paid for billing out 2 hernia repairs (49655 and 49652)? NCCI edits say we can bill them, but will insurance pay for both? Or should I just bill out 49655-22? thank you
 
unless they are noted to be in 2 completely different areas and incisions I would just use 1 plus modifier if it qualifies. Sometimes my surgeon documents 2 hernia repairs but no more than an extra 15 min for second and I don't think that constitutes a 22 mod
 
Top