Results 1 to 3 of 3

Cpt 51597, 38770, 57107, & 50820

  1. Default Cpt 51597, 38770, 57107, & 50820
    Medical Coding Books
    51597 - Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof

    38770 - Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)

    57107 -Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)

    50820 - Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)

    Fidelis Medicaid is denying 38770
    **Per CCI, 50820 is bundled to 51597, no modifier allowed.

    Does anyone have any suggestions?

    Thank you,

  2. Default
    38770 is designated seperate procedure. Maybe a -59 will work?

  3. Default
    Actually, I'm more concerned with 51597 & 38770.

    Per CCI, there are no bundling issues. Payer is denying 38770 as bundled to 51597?

    Do you agree or disagree?

Similar Threads

  1. 57120 vs 57107 - I have read several articles
    By nc_coder in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-27-2015, 06:29 AM
  2. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-08-2012, 11:44 PM
  3. 44120 denied to 50820
    By coders_rock! in forum Urology
    Replies: 1
    Last Post: 07-20-2011, 06:43 AM
  4. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 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?


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.