AAPC - Back to school
Results 1 to 5 of 5

Thread: cci edits

  1. #1

    Question cci edits

    AAPC: Back to School
    I've just started coding for a new general surgery office. When they do a lap cholecystectomy they are billing 47562 and 44180-59. I know this is a cci edit but they said they have been doing it for years and get paid on it. I don't code for it if it's a cci edit. I'm wondering what others do.



  2. #2
    Join Date
    Apr 2007


    bypassing the CCI edits with the 59 just to get paid for it really isnt a good idea.

    Unless you have substantial documentation to support the use of the 59 modifier (which you more than likely do not) then it really and truly is not advised.

  3. #3


    This is what I told them but they are shocked that I won't code for it.



  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Only when Extensive Lysis documented

    We have used this approach ONLY when an extensive lysis of adhesions was performed. We required the surgeon to document the amount of time required for the lysis of adhesions, and if it's over an hour we'll use the 44180-59.

    It's not often that this requirement is met.

    F Tessa Bartels, CPC, CPC-E/M

  5. #5


    I agree w/ Tessa. I will use it w/ a 59 but ONLY if it' over an hour and well documented how difficult the adhesions were. Otherwise I'll append I might append a 22 on the lap if the documention isn't specific enough but still deserves more payment.
    adrianne, cpc

Similar Threads

  1. Cci edits - I was wondering if there
    By denamfailla in forum Modifiers
    Replies: 1
    Last Post: 04-21-2014, 07:08 AM
  2. Cci edits - Long story short...My
    By amyrose in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 09-30-2012, 08:37 AM
  3. Cci Edits / Mutually Exclusive Edits
    By heiditipherwell in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-26-2012, 06:30 PM
  4. CCI Edits
    By cordelia in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-02-2012, 04:22 PM
  5. CCI Edits
    By Ksumansky in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-06-2008, 08:41 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.