Wiki Graham patch repairs for perforated ulcer

cauer

Guest
Messages
9
Location
Milwaukie, OR
Best answers
0
Is anyone else having trouble with reimbursement for the Graham patch repair for an perforated peripyloric ulcer? I have billed CPT's 43840 & 49905, & have received several denials indicating that 49905 is bundled with 43840. Since 49905 is an add-on code & we've gotten paid for it before, I'm hoping that someone knows how to approach the insurance with proof that it is not bundled., or is there current documentation available that tells us we no longer can bill for these 2 codes together?
Thanks in advance for any help!
 
Top