Wiki Prophylactic Appendectomy performed by a separate provider

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thadley

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Help! I can't find anything anywhere about this situation. It is my understanding that for facility charges, NCCI editing can be overridden when 2 separate providers are performing procedures that normally unbundle to each other. Is this true when one provider performs a procedure like a hysterectomy and then a separate provider performs a prophylactic appendectomy? Normally the appy wouldn't be paid as it wasn't medically indicated, but can it be in this case since it was performed by a separate provider?

Thanks in advance.
 
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