blacjeans
Guest
Is it acceptable to code CPT 23430-59 (tenodesis of long tendon of biceps) with CPT 23472 (total shoulder arthroplasy) when billing Medicare?
-
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 Coding question
- Thread starter blacjeans
- Start date
pvrossow
New
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
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
Guest
GREAT THANKS.. But what constitute using XP,XE.? Would it be something like for pathologic and/or separate incision.. im just trying to understand 