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Thread: Open shoulder question

  1. #1

    Default Open shoulder question

    AAPC: Back to School
    I billed an open shoulder with 23412 rt, 23130 rt 59 and a 23120 can anyone tell me if the cci edits disallow the 23130????? thank you

  2. #2


    No you just need the 59 like you have it.

  3. #3
    Join Date
    Apr 2007


    the cci edits do bundle 23130 into 23412 so technically you could bill it with a 59 modifier IF your documentation clearly states that this was separate from the RCR by showing that he altered making the surface a Type I/Type II acromion. Also make sure that this was not done just for visualization.
    Mary, CPC, CANPC, COSC

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