can 30930 outfracture of turbs and 30140 smr be coded together?

ncantello

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In cpt manual there is a note that 30930 and 30140 can't be coded together. However, I have seen these coded together with a -59 modifier. Is this ok? Thanks!
 
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In cpt manual there is a note that 30930 and 30140 can't be coded together. However, I have seen these coded together with a -59 modifier. Is this ok? Thanks!
Hello,
These are two individual services only. Still it is better always to code 30140 first, followed by 30930-59.
 

mbort

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since the CPT codes states NOT to bill them together and the CCI edits bundle them, I do not see how you could possibly justify using the -59 modifier (unless you are coding for payment...which I hope you are not)
 
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No, it's not okay

I agree with Mary. CPT clearly states not to do this. They are bundled per CCI edits. I don't know how it could be more clearly stated.

This is not my area of expertise, but I will pose an additional question ...
Could this be a case where the left side and right side of the nose were treated differently? Perhaps that's where someone has tried to use the -59 modifier to clarify the uniqueness of the process for that patient?

F Tessa Bartels, CPC,CPC-E/M
 

ncantello

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Thanks! I think I read somewhere that 30930 will be eliminated in future editions of CPT, so until then, I'll make sure to only code one. Thanks for all the help!
 
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