Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Podiatry
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 07-12-2010, 12:24 PM
sguarino sguarino is offline
New
 
Join Date: Apr 2007
Posts: 6
sguarino is on a distinguished road
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.
Reply With Quote
  #2  
Old 07-12-2010, 12:37 PM
ASC CODER ASC CODER is offline
True Blue
 
Join Date: Apr 2007
Posts: 570
ASC CODER is on a distinguished road
Default

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.....
__________________
LG CPC,CASCC
Reply With Quote
  #3  
Old 07-29-2010, 10:40 AM
00029754 00029754 is offline
Networker
 
Join Date: Apr 2007
Location: Philadelphia
Posts: 43
00029754 is on a distinguished road
Default

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.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 04:08 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC