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23470 and 29823

  1. #1
    Default 23470 and 29823
    Medical Coding Books
    Can somebody help me on this? The Physician did debridement of labrum right shoulder and hemiarthroplasty of right shoulder. Isn't the 29823 inslusive in 23470 and only 23470 should be billed?

    Thank you

  2. Default
    Quote Originally Posted by 0913@70 View Post
    Can somebody help me on this? The Physician did debridement of labrum right shoulder and hemiarthroplasty of right shoulder. Isn't the 29823 inslusive in 23470 and only 23470 should be billed?

    Thank you
    you can unbundle the 29823 with a 59 modifier, but only if your documentation supports it.

  3. #3
    Default
    Thank you for your reply.

    But, this was the same shoulder and same incision, isn't modifier 59 appended where there is a second incision and different body part?
    My other question is; if they do total shoulder replacement isn't the debridement of the
    labrum necessary to be done in order to do this procedure correctly?

    Thank you so much

  4. #4
    Default
    Can somebody clear this out for me? Can you appeand mdfr 59 on a priocedure for the same, knee, shoulder...?

    Thank you for your help

  5. #5
    Location
    Long Island/New York
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    Default
    Quote Originally Posted by 0913@70 View Post
    Thank you for your reply.

    But, this was the same shoulder and same incision, isn't modifier 59 appended where there is a second incision and different body part?
    My other question is; if they do total shoulder replacement isn't the debridement of the
    labrum necessary to be done in order to do this procedure correctly?

    Thank you so much
    not always...even though that is a reason for adding a 59 modifier i usually will ask myself or the doc was the procedure unrelated to the primary procedure. in the case you presented it doesn't look like you could append a 59 mod and it would be bundled...

  6. #6
    Default
    Thank you for your help.

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