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Lap Cole With Open Ventral Hernia Repair

  1. #1
    Default Lap Cole With Open Ventral Hernia Repair
    Medical Coding Books
    Are These Two Reportable Together? They Are Combined In Cci But I Don't Understand Why.

  2. #2
    St. Louis, Missouri
    The cci edits show that a modifier is allowed. I would use a 59 modifier.

    Melissa Blow, CPC

  3. Smile billing Lap chole with ventral hernia.
    The only way I bill these together is if after the Dr. does the Lap Chole, he then removes the trocars and either enlarges the same incision or makes a new incision to repair the hernia. If he repairs the hernia through that same incison as the lap chole I do not bill it separate. Then if ins. denies you can have a fight as to why these should be billed separate.

    Melis, CPC

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