Results 1 to 6 of 6

One more - 59 question please

  1. #1
    Location
    Pensacola , Florida
    Posts
    122
    Exclamation Please help with this question ...please
    Exam Training Packages
    I have looked everywhere - can I bill these together in an ASC w/out a -59 mod or with .. I think with ...but I need to be sure - I have no coding books to use and I am unsure of me


    1. Excision of lunate triquetrum scaphocapitate fusion with local bone grafting distal radius.
    25210

    2. Excision of posterior interosseous nerve of wrist
    25820

    Can these be billed together with a -59 ?? or not at all ...



    DX Midcarpal arthritis , radiocarpal arthritis : would you use
    715.04 ?



    Thank you in advance !!
    Last edited by Justarose; 03-26-2009 at 10:15 AM. Reason: need help so i rephased question

  2. #2
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    I would use the modifier 59 with this one.
    The DX looks good.
    AWest

  3. Default
    25820 is for the wrist arthrodesis and 25210 carpectomy bundles into the arthrodesis procedure.

  4. #4
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    It is bundled, thats why I would use a 59 as it is allowed per CCI edits.
    AWest

  5. #5
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Rie, it is bundled per CCI Edits - you can use the modifier .59 on the 25210 IF and ONLY IF it meets the criteria for use of the modifier .59 !!!! you can find that info on the CCI Edits site as well - here's the link: http://www.cms.hhs.gov/NationalCorre...modifier59.pdf

    Haven't reviewed your dx but just wanted to post this, so you wouldn't just add a .59 modifier and call it good it has to meet the requirements for it's use in order to be used to "basically unbundle" the codes.
    Donna, CPC, CPC-H

  6. #6
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    Thank you for giving the link for the CCI edits and info on modifier 59, guess I was just answering the question as to if a modifier was needed or if it should be billed without.
    AWest

Similar Threads

  1. ROS Question and Exam Bullet Question
    By Stefanie in forum Auditing General Discussion
    Replies: 1
    Last Post: 05-21-2010, 05:04 PM
  2. Replies: 5
    Last Post: 10-13-2008, 08:55 AM

Tags for this Thread

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?

Login

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.