• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki CCI Edits/No modifier allowed?

Create Wiki
V

volleyb13

Networker
Messages
29
Best answers
0
I know when two codes bump up against each other as a CCI edit, stating no modifier is allowed, that they should never be billed together.

What however, if two codes bump up against each other as bundled/no modifier allowed/cannot be billed together by CCI edits, & one of the procedures was done through a separate incision/site, would/could you then bill both and appeal the claim with the notes to see if it gets paid, or are they still unbillable together on the same date?

Any thoughts on this would be helpful! Thanks :rolleyes:
 
If they have an edit for no modifier allowed then no you would not win that appeal. No modifier allowed means exactly that and to my knowledge there is no argument that can be constructed to over ride this.
 
If they have an edit for no modifier allowed then no you would not win that appeal. No modifier allowed means exactly that and to my knowledge there is no argument that can be constructed to over ride this.
 
You must log in or register to reply here.
Top