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Old 07-12-2010, 01:24 PM
sguarino sguarino is offline
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Default CPT codes 28270 and 28230

I'm fairly new to Podiatry billing and recently had a denial of a second level appeal by TriWest for bundling of CPT codes 28270 and 28230. Per CCI edits, these coeds don't bundle, but I can't get TriWest to pay for 28230. Could anyone explain why? Any help would be greatly appreciated.
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Old 07-12-2010, 01:37 PM
True Blue
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both of those codes are (seperate procedures) if the separte procedure is carried out independently or considered unrelated then a "seperate procedure" can be billed.....
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Old 07-29-2010, 11:40 AM
00029754 00029754 is offline
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I think the desription of 28270 includes "with or without tenorrhaphy". Were the procedures done through separtate incisions? Can you truely say these were separate procedures? I can't read the report but I am trying to think likethe payer.
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