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Can you bill units for excision codes?

  1. #1
    Location
    Phoenix/Scottsdale
    Posts
    139
    Default Can you bill units for excision codes?
    Medical Coding Books
    I need help. The podiatrist I code for tries to bill multiple units say for example code 28122 or 28104. He even said he makes one incision but does things to multiple bones/toes? Does anyone with Podiatry expertise know if this is correct. Our AHCCCS reps say no per AMA/CPT guidelines. My Dr wants to see this in writing. If anyone has any links they can forward me regarding this , that would also be a tremendous help.


    Thank You!!!

    Kristin F. CPC

  2. #2
    Default
    At our office one cut one procedure because that is how the insurance companies audit. Now if the doctor is doing multiple procedures on multiple toes in one cut you can use the TA - T9 modifiers to show the multiple procedures but be sure the doctor documents each procedure well. But the insurance company might see it as one cut one procedure.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  3. #3
    Location
    Phoenix/Scottsdale
    Posts
    139
    Default
    Thank you Tammy. If you see any other questions from me, please respond. You really know your podiatry coding!!! Thanks so much! We took over this Dr.'s account and it was somewhat of a mess. He also does not know the guidelines too well. He always wants somthing in writing.
    Thanks again!!

    Kris

  4. #4
    Default
    I have been in the podiatry field for over 8 years. I am glad that am helpful.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

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