difference of opinion

lburke31

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What happens in your office if there is a difference of opinion between M.D. and coder? thank you LBurke
 

lburke31

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M.D. wishes to bill for a foreign body removal (69200) when procedure was only attempted. Foreign body was actually removed by nurse with lavage. lburke
 

mitchellde

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You might could bill for the procedure but it depends on what the note states, however since it was completed with irrigation by RN then you could bill only for the irrigation, not both.
Procedures that are started and go thru all the necessary steps but do not accomplish the goal can be coded and charged. If the procedure was started and all the steps not completed, it can be coded with a modifier, however when a different procedure is also performed for the same purpose, you cannot code for both.
 
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