• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Help with Segmentectomy

Create Wiki Sort by date
H

harebt@charter.net

Contributor
Messages
16
Location
Beloit, WI
Best answers
0
Good Afternoon,

The physician shingled a rib to prevent uncontrolled breaking of the rib during a Segmentectomy (32484). Then once done with the procedure he repairs the rib. Can you bill seperately for the repair of the rib? Or is this considered part of the procedure? My understanding is shingled is a controlled break. Please advise. The physician says we should be able to bill 21811 for the repair of the rib.

Thanks for your help!
Tina
 
0
You cannot bill to repair a what you broke to get access to the surgical site. So if it wasn't broke in the first place, you can't bill it.

ETA: IMO your physician's desire to recoup a fee for the work already included in the procedure is an indication of why coding/billing is so difficult.
 
Last edited:
You must log in or register to reply here.
Top