I am having trouble figuring out the coding for.."Right mastopexy w/ implant placement, removal of left ruptured implant, left partial capsulectomy, replacement of left implant". I billed: 19342 (50 modifier), 19316 (LT, 51 modifier), 19330 (RT, 59 modifier) and Medicare denied it saying "236-This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day per the National Correct Coding Initiative"
I am really not sure what they are looking for. I know that the description for 19340 and 19342 changed to not include mastopexies...so how should I code this to get paid for the replacement of the implants? Any suggestions?
Patient does have HISTORY OF BREAST CANCER
I am really not sure what they are looking for. I know that the description for 19340 and 19342 changed to not include mastopexies...so how should I code this to get paid for the replacement of the implants? Any suggestions?
Patient does have HISTORY OF BREAST CANCER