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S2342 vs 31237

  1. Default S2342 vs 31237
    Medical Coding Books
    During post-op for 30520 (90 days), does anybody bill out either S2342 (commercial carriers) or 31237 (Medicare) with modifier 58?

    If you have rec'd reimbursement on S2342, what amts and from what carriers are you receiving. We have to add this code to our master list. Any help would be appreciated.
    Ann Marie CPC
    Watertown, CT

  2. #2
    Stuart Sailfish Chapter
    What exactly are you billing out 31237 for.. is it for the Debridements after sinus surgery. is this being perfomed in the OR? -58 is return to OR during post op period.
    are your MD's performing this in the office -79? a little more detail would help
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

  3. #3
    Red face alpine1
    We are using S2342 with a 79 modifier as well as the bilateral modifiers of LT RT
    Our reimbursement $120.00.

  4. Default
    One of our payers has been changing our 31237s to S2342s. This is incorrect, the 31237 is the correct code for PO sinus debridement. We are in the process of working with our local academy to get this edit fixed. BCBS had tried doing this about 10 years and lost.

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