Hi Fellows,
I just need your knowledge about these 2 procedures here. We have this case as the Dr operated a patient with an inguinal hernia and cord lipoma (49505 and 55520). As you can see in the cpt book the 55520 (excision of lipoma cord) is a separate procedure and supposedly not separately claimble, but if you look in the CCI edits, when you look under both the cpt they are not a compartment of each other. Unlike other codes in the CCI that it will tell you directly if the codes are paired or not. Does this mean that both of these procedures are 2 separate claimable? I billed Anthem with both procedure and included the op-report with the claim and they both paid it. Can you please give me your feed back. I really appreciate it.
I just need your knowledge about these 2 procedures here. We have this case as the Dr operated a patient with an inguinal hernia and cord lipoma (49505 and 55520). As you can see in the cpt book the 55520 (excision of lipoma cord) is a separate procedure and supposedly not separately claimble, but if you look in the CCI edits, when you look under both the cpt they are not a compartment of each other. Unlike other codes in the CCI that it will tell you directly if the codes are paired or not. Does this mean that both of these procedures are 2 separate claimable? I billed Anthem with both procedure and included the op-report with the claim and they both paid it. Can you please give me your feed back. I really appreciate it.