Thouvenel
Guru
My physician is challenging the insurance companies decision to apply to multiple procedure reductions to his surgeries if there is a distinct anatomical site difference. An example would be removal of tonsils under 12, and a unilateral insertion of vent tube. I have tried to explain it to him, its not because its done on a different anatomical site, but because its done in the same surgical session, am I correct? He's thinking he could get higher reimbursement if he does the surgery, wakes the patient, then does another surgery tomorrow which of course raises all other kinds of issues, but that is his thinking. Please help.