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23552, 23395, & 23120 billed together

  1. Question 23552, 23395, & 23120 billed together
    Exam Training Packages
    23552[LT], 23395[LT], & 23120[LT] were are billed together. 23552 was paid. Under what circumstances would the others be payable? What modifiers can be used?

    FYI: There are no bundling issues in CCI.

    23552 - Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)

    23395 - Muscle transfer, any type, shoulder or upper arm; single

    23120 - Claviculectomy; partial

  2. #2
    Green Bay, WI
    As you've stated, these codes are all accepted by CCI & modifier -59 is not required to report these 3 codes together. I would append modifier -51 to the 2 secondary surgical procedures; otherwise, I'd say you're good to go!

  3. Default
    Thank you!

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