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Wiki discontinued procedure

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binateans

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If you bill a procedure with a 53 modifier and then bill another procedure with a 59 but the edits state they are unbundled, no modifier allowed, should the discontinued procedure be denied. For example, 58100 was billed with a 53 modifier and then 57500-59 was billed. The edits state verbatim "Code 57500 is a component of Column 1 code 58100 and cannot be billed using any modifier.

I think the discontinued procedure should be considered an overpayment and refunded, what do you all think?

Thanks
Tina
 
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