• 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 Ortho-Fall Assesment

Create Wiki
L

Linda77

Guest
Messages
63
Location
Del Rio, TX
Best answers
0
We are offering a series of new testing at our Ortho clinic. But I am very confused about the combination of codes used. They are 92540, 92541, 92542, 92543, 92544, 92545 and 92546. Per the instructions these codes can not be billed together but the Dr. spoke with a rep from the company that the equipment was purchased that swears you can. I am feeling very uncomfortable about the combination of codes and I am wondering does anyone have knowledge in this area. Thanks guys your the best! :)
 
According to NCCI edits 92540, 92543 and 92546 have no edits. However 92541, 92542, 92544 and 92545 are all column 2 code to 92540 with a modifier indicator of zero, so no modifiers are allowed with these code combinations.

You may want to show the Dr. the NCCI edits since no sales rep can get around them.
 
Check you CPT book as well, in the 2015 version these codes have new instructions that specifically indicates these cannot be used in conjunction with certain combinations. As indicated by the CCI edits as well.
 
Linda77 said:
We are offering a series of new testing at our Ortho clinic. But I am very confused about the combination of codes used. They are 92540, 92541, 92542, 92543, 92544, 92545 and 92546. Per the instructions these codes can not be billed together but the Dr. spoke with a rep from the company that the equipment was purchased that swears you can. I am feeling very uncomfortable about the combination of codes and I am wondering does anyone have knowledge in this area. Thanks guys your the best! :)
Click to expand...

Thank you for the feedback :) you guys have a great day!!
 
You must log in or register to reply here.
Top