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Thread: Multiple Surgery Guidelines

  1. #1
    Join Date
    Apr 2007
    Louisville, KY

    Default Multiple Surgery Guidelines

    AAPC: Back to School
    We are having a debate within our office. Our question is in regards to multiple surgery guidelines & the order in which procedures should be submitted on claims. We are debating whether the RVU’s for a procedure should be doubled for a bilateral procedure when determining the order in which claims should be submitted.

    For example, Procedure A has an RVU of 15.0 & Procedure B has an RVU of 10.0. Procedure A was performed unilaterally & Procedure B was performed bilaterally. Which order should this claim be submitted:


    Procedure A 15.0

    Procedure B 10.0


    Procedure B 20.0

    Procedure A 15.0

    If you are able to help me in anyway I would greatly appreciate it.

  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    We use the most expensive first as this is the code that pays first.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3


    you bill the code that PAYS the highest to least

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