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Cci edit question

  1. #1
    Question Cci edit question
    Medical Coding Books
    THE DECRIPTION OF THE CPT CODES 74400, 74415 AND 74420 STATES IT IS WITH OR WITHOUT KUB. PER CCI EDITS THESE CODES AND THE KUB (74000) ARE NOT MUTUALLY EXCLUSIVE AND CAN BE BILLED W/ 59 MOD. WHICH TRUMPS THE OTHER, CCI OR CPT? ALSO, FOR 74400 IT STATES WITH OR WITHOUT TOMOGRAPHY BUT AGAIN CCI ALLOWS BILLING 76100 (TOMOGRAPHY) W/ A 59 MOD ON THE 74400. IS THIS INCORRECT UNBUNDLING??

  2. #2
    Default Cci
    This article may give you some guidance
    http://www.supercoder.com/articles/a...ment-for-ivps/
    Heather Winters, CPC, CFPC

  3. #3
    Smile
    I did receive an answer from the RBMA regarding this and they wrote"ONLY if it is not part of the base procedure. A 74000 is almost always done prior to injection and is considered part of the IVP or IVU as a scout film for the procedure. If a abdomen film (74000) was done at another time UNRELATED to the IVP or IVU then it would be correct to code for it with a 59 Modifier." SO, in our instance we can bill for the KUB.Thx

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