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Thread: Add-on codes following primary surgery code guidelines??

  1. #1

    Question Add-on codes following primary surgery code guidelines??

    AAPC: Back to School
    I just need clarification that the add-on codes would follow their primary code guidelines.. if the primary code billed is considered a major surgery, then the appropriate add-on code should be treated as a surgical procedure as well.... correct?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    i am not sure i understand your question exactly can youbput it into context with a procedure example?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default 49568

    procedure code 49568 was billed with 49561. 49561 is a major surgery with 90 global days and is qualifying as a surgical procedure. its add-on code is being denied for no auth, but auth isn't needed for outpatient surgical procedures. wouldn't the add on code be qualified as a surgical procedure, as it can only be billed with a surgical procedure?

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