Wiki Enteroenterostomy 44130

JParker5

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Hi

As anyone billed out 44130 twice with modifier 59 attached to the second line? One of our outside coder billed a procedure this way and we recieved a denial for the 2nd line from the insurance stating max number allowed. I asked the coder to review the report again and she says that two separate anastomisis performed. Any Advise?

Thank You
 
Just by looking at the code in the CPT book it seems IMO that no matter how many you do you can only get paid once. Like in coding Heart Caths you can do 5 Pulmonary Artery Angiographies (93568)and only get paid for one. Thats how i interpret the 44130. Then again if it was for the same Condition then i could See where the Denial Came From.
 
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