CPT Codes 20680 29881 29888

[lmiller1]

I didn't see any CCI edit for these codes, just checking if they can be billed out together.

 

[dalanicks@aol.com]

all codes are good!

 

[lmiller1]

29888 29881 20680

Just wanted to make sure there are not any CCI edits with these, since one of our coders stated that there is.

 

[drakena74]

There is no CCI edit for outpatient facility or physician office.

 

[jturner40]

Good morning , should there be a modifier 59 and 51 on the 20680

 

[Orthocoderpgu]

jtrurner40 there may not be an edit between the codes, but that does not mean that all can be billed either. Without seeing the op note my guess would be that 20680 is part of the ACL. If the hardware is in the same anatomical location 20680 would not be billed. CMS clarifies this in the 2017 surgical policy manual. As far as the -51 modifier goes, it would be used unless the patient is on a Medicare policy. -59 would not be used since there is no edit.