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  1. #1
    Default Arthroscopy
    Medical Coding Books
    My surgeon perform surgury using cpt codes 23120 and 29805. I used a modifier of 59 with the 29805 as a unrelated procedure to the 23120 and it was denied for a non covered procedure. Does anyone know what I can do to get this paid?


  2. #2
    Greater Pittsburgh
    Without the op note I would say this is included a diganostic scope converted to an open procedure and use v64.43 as the 2nd diagnosis code. Why would you think it is separate?
    jdemar, CPC, CMA

  3. #3
    i agree without looking at the OP Note its hard to tell. If the diagnostic scope was done and it the decision was made to convert to an open claviculectomy then yes it would be included and you are not going to get paid for the diagnostic scope.

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