• 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 Cpt 41874 help

Create Wiki
M

mmunoz21

Networker
Messages
92
Location
Valrico, FL
Best answers
0
I have a claim and op note for 41874 x3 quadrants...provider billing 41874, 41874-59 and 41874-59...

The description of code states EACH quadrant, so does 59 apply or does 51 apply?????
 
Hi,

I am not sure what state you are in; however, here is the link to a National Coverage Policy I found on the Michigan website: http://wpsic.com/medicare/part_b/policy/dent002.pdf

I am going to give you another link below. I think the way you identify the quadrants as stated in the CPT book is with your ICD-9 codes. Read the information in the following link and you will see what I mean. I do not feel modifier -59 or -51 are needed because the code is telling you to specify the quadrants.

Here is the other link: http://www.aaoms.org/docs/practice_mgmt/coding_papers/alveoloplasty_with_extractions.pdf

Read the ICD-9 codes and you will get what I am saying about identifying the quadrants with the diagnosis codes.

Peggy Kulczycki, CPC, CPC-I
 
You must log in or register to reply here.
Top