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Multiple procedures - I have found

  1. #1
    Default Multiple procedures - I have found
    Medical Coding Books
    Can you bill 58558, 58660 and 49322? Everything I have found says you can and it isn't bundled. I want a 2nd opinion.

    Thanks
    tgiglio

  2. #2
    Location
    Jacksonville Florida Chapter
    Posts
    205
    Default
    I can't find anything that says you can't bill all three. Looks good to me.
    John Meyer, CPC
    Heekin Clinic

  3. #3
    Default
    Thank you!
    tgiglio

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by TGIGLIO View Post
    Can you bill 58558, 58660 and 49322? Everything I have found says you can and it isn't bundled. I want a 2nd opinion.

    Thanks
    Although you can bill them all together, expect to get a denial on the 58660. The 58660 Lysis of adhesions is a separate procedure, so it is generally considered included when you do another laparoscopic procedure. Unless the adhesions are so dense that they are obscuring the operative field, or have changed the anatomy in the pelvis, clearing them is part of the 49322 procedure. The other way you can bill for the additional work for adhesions is to add a 22 modifier to the 49322 and bump up the cost. You will still need to prove that they were significant and required additional work.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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