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  1. #1
    upper saddle river,nj
    Default 29806
    Medical Coding Books
    I know this maybe a dumb question but i need to know. My provider did an arthroscope on a patient but the he wants to bill 2 units (not bilateral). I'm reading the procedure code description i don't see where this can be billed this way since we only have 2 shoulders and one part to each. Any advice would help

    mary winfield,cpc

  2. #2
    My question would be why does he want to bill 2 units? Is he thinking he did more work than usual?

  3. #3
    upper saddle river,nj
    Quote Originally Posted by cpccpma View Post
    my question would be why does he want to bill 2 units? Is he thinking he did more work than usual?
    yes he does in this case my best answer to him would be to add the -22 modifier with the op report and the 50% fee increase to show it was more work. I've looked at this code and the way it reads you can't bill it by with 2 units only bilaterally. Am i understanding this correctly?

    Mary winfield, cpc

  4. #4
    Hartford, CT
    Yes you are understanding this correctly. If you physician feels he did more work than usual he should use the 22 modifier.
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  5. #5
    upper saddle river,nj
    Thank you

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