Greetings,
I am inquiring about a CPT code for Lysis of Adhesions. I have been getting an issue with Blue Cross Blue Shield of Illinois when I billed the following codes:
58740
58720 (Salingo-oophorectomy) M 59
58563 (Laparoscopy with endometrial ablation) M 59
The payor processed CPT code 58720 as the primary code, however I did not send the claim in this way. Is there something I am missing?
I had another case very similar where the CPT 58740 was billed as the primary code with CPT code 58700 with a modifier 59.
Both cases I was informed CPT code 58740 was bundling against itself, which doesn't make any sense.
Any advise in these cases would be of a great help!
Thank you!
Mark A. (COBCG CPC expected completion Aug 2019)
I am inquiring about a CPT code for Lysis of Adhesions. I have been getting an issue with Blue Cross Blue Shield of Illinois when I billed the following codes:
58740
58720 (Salingo-oophorectomy) M 59
58563 (Laparoscopy with endometrial ablation) M 59
The payor processed CPT code 58720 as the primary code, however I did not send the claim in this way. Is there something I am missing?
I had another case very similar where the CPT 58740 was billed as the primary code with CPT code 58700 with a modifier 59.
Both cases I was informed CPT code 58740 was bundling against itself, which doesn't make any sense.
Any advise in these cases would be of a great help!
Thank you!
Mark A. (COBCG CPC expected completion Aug 2019)