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Wiki hospital visits after robotics

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debraj

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I am having difficutly with several carriers denying 99231 and 99232 days after doc does a robotic (55866). One carrier states " 99232 is not indicated for separate reimbursement when filed with 55866".

Is anyone else having problems with this? What info do I need to appeal?

Thanks!
 
Well, 55866 carries a 90 FUD. Therefore, no E&M services, including 99231 and 99232, would be billable unless the E&M is an unrelated service during the post op period.

Zaida, CPC
 
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