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cysto and treatment codes

  1. Default cysto and treatment codes
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    physician insists 52310 and 52332 were performed as two separate procedures...medicare guidelines show these are bundled...have tried using
    59 modifier..still same denial ..any suggestions?

  2. #2
    I know they list 52310 as a separate procedure, but since the stent was basically being replaced I'm pretty sure you can only use 52332. I always hated those "how things should be paid" vs. reality discussions with my docs. ;-)

  3. #3
    Fayetteville, NC
    Were the procedures performed on two separate sites?
    If so you may need to send the procedure notes to Medicare to get paid.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  4. Default
    no was one site

  5. Default
    Ok. Thank you...that's what I thought

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