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Help coding a surgery

T

TCARBINO

Contributor
Messages
14
Location
Massena, NY
:confused:
I BILLED THIS SURGERY
28296 (LT)
28285 (T2,51)
28285 (T3,51)
28285 (T4,51)
MEDICARE ORGINALLY PAID THIS. AND NOW THEY ARE TAKING BACK SAYING THE HAMMER TOES ARE INCLUSIVE. SO IF SHOULD I BILL THE HAMMER TOES THIS WAY
28285 (59,51,T2)
28285 (59,51,T3)
28285 (59,51,T4)
CAN SOME ONE PLEASE HELP ME I AM SO CONFUSED.
 
per ncci the 28285 would bundle to the 28296 but the modifier 59 can be added to tell medicare they were done on different toes than the 28296 and it appears by your modifiers that is the case. I do not use the mod 51 at all.
 
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