AAPC - Back to school
Results 1 to 3 of 3

Thread: 25605 with 76000

  1. #1

    Question 25605 with 76000

    AAPC: Back to School
    Auditing charges in our ortho department and am stumped.
    One of our managers coded 25605 with 76000 modifier 26. I though that 25605 included procedure 76000 so my thought was this is incorrect and only 25605 should be billed. Our PMS has code correct and when I performed the code check on this it stated that 25605 can be used if a modifier 59 is used.

    My question is why code for it if it is already included in the primary procedure code?

    Any thoughts would be greatly appreciated!

  2. #2
    Join Date
    Apr 2007


    You are right--it is considered part of 25605. The 76000 bundles with the 25605. By adding the 59 modifier she is unbundling. (unless of course the fluoro is on a different body part other than the fracture)

  3. #3


    It is the same body part. Thank you for your quick reply!

Similar Threads

  1. 76000-26
    By robbin carrone in forum Orthopaedics
    Replies: 0
    Last Post: 05-07-2015, 03:59 PM
  2. 76000
    By mg65 in forum Urology
    Replies: 2
    Last Post: 05-28-2013, 03:55 PM
  3. 76000
    By KJenkins588 in forum Interventional Radiology
    Replies: 4
    Last Post: 04-13-2011, 03:44 PM
  4. 99024 and 25605
    By campy1961 in forum Orthopaedics
    Replies: 2
    Last Post: 10-19-2010, 10:18 AM
  5. 99204 and 25605
    By JulieK in forum Orthopaedics
    Replies: 0
    Last Post: 10-12-2010, 09:35 AM

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.