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I have a surgeon who is performing a 42890 (Limited pharyngectomy) using the Da Vinci system.
My question is he would like to bill for this as normal, however the code states that a “neck incision is done as well as a reconstructive closure”.
I want to bill this with a -52 modifier because I believe that the RVU's are so high due to the incision and the closure- so in my mind if that is not being done then how can I justify billing the code in its entirety? Some say that I should just because it's specialized equipment- however again I don't think that is justifiable.
Please advise.
My question is he would like to bill for this as normal, however the code states that a “neck incision is done as well as a reconstructive closure”.
I want to bill this with a -52 modifier because I believe that the RVU's are so high due to the incision and the closure- so in my mind if that is not being done then how can I justify billing the code in its entirety? Some say that I should just because it's specialized equipment- however again I don't think that is justifiable.
Please advise.