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carpal bossing with ganglion..?

  1. #1
    Default carpal bossing with ganglion..?
    Medical Coding Books
    carpal bossing with ganglion excision

    --------------------------------------------------------------------------------

    An incision was made transversely over the mass. The incision was deepened using tenotomy scissors to the level of the mass. Tenotomy scissors were used to circumferentially dissect down around the mass. The mass was excised along with a small portion of joint capsule. There was a bony prominence in the region as well, consistent with a carpal boss. This was removed using a rongeur. After removal, bipolar electrocautery was used to cauterize the base to minimize recurrence


    25130 with 726.91
    25111 with 727.42

    Can you bill these two together?
    LG CPC,CASCC

  2. #2
    Location
    Marquette Michigan
    Posts
    5
    Default
    You should be able to bill these together although I would use a 51 modifier on 25111. The CCI edits do not show that they cannot be billed together.

  3. #3
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    I thought we were not supposed to use modifier 51 in an ASC...
    AWest

  4. #4
    Default
    Your Not
    LG CPC,CASCC

  5. #5
    Location
    Marquette Michigan
    Posts
    5
    Thumbs up
    Sorry, was thinking in my world, ASC is different with the modifiers....

  6. #6
    Location
    Jacksonville Beach, FL
    Posts
    71
    Default
    Okay. Well I would bill those together, they wouln't need a modifier per CCI.
    AWest

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