Wiki NCCI Edits

[kyannekis]

Code 26750 with 12001 There is an open fracture that was reduced and repaired - NCCI shows 1 - allowed with appropriate modifier is my understanding of what 1 means, however it states misuse of column two code with column one code. Would I use a 59 modifier or does it mean I can't bill together if it was an open fracture that was reduced?

 

[such78]

Code 26750 with 12001 There is an open fracture that was reduced and repaired - NCCI shows 1 - allowed with appropriate modifier is my understanding of what 1 means, however it states misuse of column two code with column one code. Would I use a 59 modifier or does it mean I can't bill together if it was an open fracture that was reduced?

1. 26750 is for closed treatment for distal phalangeal fracture, please review the procedure it is for close or open.
2. 12001 is simple suture, usually it is bundled to other procedures. at least the suture is performed on different sites that not related to the main procedure.