Wiki Lap Choly with lysis of abdominal adhesions

[tsmjcm87]

I have a question inregards to a procedure being billed for lap choly 47562 and the surgeon also did a lysis of abdominal adhesions which we coded 44180 with modifier 59.
Medicare is denying for CO-4 and remark code M80. If the procedure is already considered a separate procdure by the CPT book then you would not need the 59 modifer and then it should be paid?

 

[MSPEAKM]

Check your CCI edits, those two codes are not billable together even with the modifier 59.

 

[syllingk]

when it states it is a separate procedure that means it is usually included in another procedure.