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billing for inguinal hernia and spermatic cord lipoma

  1. #11
    Default
    Medical Coding Books
    AMA states 8-10mm of the distal clavicle should be excised. 6mm could possibly also support 23120. Most of the time 23125 is used to remove the whole clavicle for like diseased bone, osteomyelitis or carinoma, etc.

    LG CPC,CASCC

  2. #12
    Location
    Monmouth, NJ & Dover, DE
    Posts
    64
    Default
    I agree with MBORT. I bill them all the time. An article from BeckersASC.com January 25, 2011 issue, written by Lolita M. Jones, RHIA, CCS regarding "7 Common Surgery Center Coding Errors". She pulls this information from the July 2000 CPT Assistant stating "the AMA clarified that when a patient comes to the ASC for an inguinal hernia repair and a spermatic cord lipoma is excised in the same operative session, coders can assign a separate code for the spermatic cord lipoma". I would go back and see if you can bill for all the monies lost.

    http://www.beckersasc.com/asc-coding...ng-errors.html

  3. #13
    Default
    delphinus777

    Thank you for the info I appreciate it
    LG CPC,CASCC

  4. #14
    Location
    Louisville, KY Student Group
    Posts
    36
    Default Practicode
    I had a practicode case just like this. They said you bill for both

    49505
    55520-59
    Thanks
    Dana Westerman
    Medical Investigations Analyst II
    CPC-A, CPMA

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