Hoping someone can help me.
I have been recently getting "Edits" (before claims reach payer) to detect any errors in billing/coding and payer edits referring to 26055 & 20550 from UHC/Oxford.
Apparently only (1) unit per day is allowed as of 10/1/2016.
This seems sort of silly as 20550 is a trigger finger injection done in the office, and 26055 is a tendon sheath incision done in the OR.
What happens when a patient has more than 1 trigger finger?
Does the MD truly have to schedule separate OR days, and separate office visits for each incision/injection?
How do we direct our MD's?
Any advice or education is appreciated.
Thanks.
I have been recently getting "Edits" (before claims reach payer) to detect any errors in billing/coding and payer edits referring to 26055 & 20550 from UHC/Oxford.
Apparently only (1) unit per day is allowed as of 10/1/2016.
This seems sort of silly as 20550 is a trigger finger injection done in the office, and 26055 is a tendon sheath incision done in the OR.
What happens when a patient has more than 1 trigger finger?
Does the MD truly have to schedule separate OR days, and separate office visits for each incision/injection?
How do we direct our MD's?
Any advice or education is appreciated.
Thanks.