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Help coding a surgery

  1. #1
    Default Help coding a surgery
    Medical Coding Books

    I BILLED THIS SURGERY
    28296 (LT)
    28285 (T2,51)
    28285 (T3,51)
    28285 (T4,51)
    MEDICARE ORGINALLY PAID THIS. AND NOW THEY ARE TAKING BACK SAYING THE HAMMER TOES ARE INCLUSIVE. SO IF SHOULD I BILL THE HAMMER TOES THIS WAY
    28285 (59,51,T2)
    28285 (59,51,T3)
    28285 (59,51,T4)
    CAN SOME ONE PLEASE HELP ME I AM SO CONFUSED.

  2. Default
    per ncci the 28285 would bundle to the 28296 but the modifier 59 can be added to tell medicare they were done on different toes than the 28296 and it appears by your modifiers that is the case. I do not use the mod 51 at all.

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