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29806

  1. #1
    Location
    upper saddle river,nj
    Posts
    112
    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
    Default
    My question would be why does he want to bill 2 units? Is he thinking he did more work than usual?

  3. #3
    Location
    upper saddle river,nj
    Posts
    112
    Default
    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
    Location
    Hartford, CT
    Posts
    723
    Default
    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
    Location
    upper saddle river,nj
    Posts
    112
    Default
    Thank you

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