Results 1 to 2 of 2

add on codes 11045-11047

  1. #1
    Default add on codes 11045-11047
    Medical Coding Books
    Our add on codes are being denial from MCR as duplicates. My understanding is that the surface area for the same depth debridement is added together.

    for example: multiple 43 debridements equal to 45 Sq Cm

    this would be coded with a 43 debridement and 2x 46 add on codes ???

    Medicare reimburse for one add on code but denied the second one as duplicate

    This is for all the claims with mutliple add on codes.

    should I use a modifier on the add on code????

  2. Default add on codes
    Quote Originally Posted by coder1 View Post
    Our add on codes are being denial from MCR as duplicates. My understanding is that the surface area for the same depth debridement is added together.

    for example: multiple 43 debridements equal to 45 Sq Cm

    this would be coded with a 43 debridement and 2x 46 add on codes ???

    Medicare reimburse for one add on code but denied the second one as duplicate

    This is for all the claims with mutliple add on codes.

    should I use a modifier on the add on code????
    I'm not sure I understand exactly how you're billing, but the correct way to bill the above assuming it's sub q is:

    If this was sub q depth, 11042,
    11042 x 1 (first 20 sq cm) so that leaves 25 sq cm to bill.
    11045 x 2 the remainder of the wound area.

Similar Threads

  1. add-on codes
    By ljhardage in forum Modifiers
    Replies: 4
    Last Post: 05-30-2013, 12:03 PM
  2. Debridement codes 11042-11047
    By mkcurry in forum General Surgery
    Replies: 1
    Last Post: 03-13-2012, 03:22 PM
  3. Highmark denial 11045-11047
    By coder1 in forum Medicare Regulations
    Replies: 0
    Last Post: 01-23-2012, 01:52 PM
  4. Replies: 3
    Last Post: 09-16-2011, 11:28 AM
  5. Add On Codes
    By Sott3935 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-13-2009, 12:34 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.