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Thread: Lip repair CPT 40527 and 40530???

  1. #1

    Default Lip repair CPT 40527 and 40530???

    AAPC: Back to School
    I have a plastic surgeon that coded both 40530 & 40527. CPT 40530 was denied as bundled, but not bundled in NCCI. Can both codes be billed if 40530 was on upper lip and 40527 on lower lip? would Modifier 59 be appropriate? Where can I find direction, I did look in NCCI but didn't find an answer.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Can you post the scrubbed op note

    Can you post the scrubbed op note?

    F Tessa Bartels, CPC, CEMC

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