Coding question

blacjeans

New
Messages
7
Best answers
0
Is it acceptable to code CPT 23430-59 (tenodesis of long tendon of biceps) with CPT 23472 (total shoulder arthroplasy) when billing Medicare?
 

pvrossow

New
Messages
3
Location
Lockport, New York
Best answers
0
NCCI Edit

Code 23430 is a column 2 code for 23472 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 23430

CCI edit Rule:
Standards of medical / surgical practice

Note: Always use modifier (if allowable) with column 2 code.

The current NCCI-associated modifiers are: E1, E2, E3, E4, FA, F1, F2, F3, F4, F5, F6, F7, F8, F9, LC, LD, LM, RC, RI, LT, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9, XE, XP, XS, XU, 24, 25, 27, 57, 58, 59, 78, 79, and 91. Read about modifiers for CPT and HCPCS codes
 

blacjeans

New
Messages
7
Best answers
0
:):) GREAT THANKS.. But what constitute using XP,XE.? Would it be something like for pathologic and/or separate incision.. im just trying to understand :confused::confused:
 
Top