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"26055"

Paula Posted Thu 22nd of October, 2015 13:01:32 PM

Dr. performed: Left ring finger trigger finger release.
Synovectomy of the left ring finger. Bilateral digital nerve neuroplasty,left ring tinger.
Insurance paid 26145 and 64702 but denied 26055 59 as included with 26145. Is this correct?

Thank you,
Center For Orthopaedic Surgery & Sports Medicine

SuperCoder Answered Fri 23rd of October, 2015 00:29:53 AM

CCI edits states "Code 26055 is a column 2 code for 26145 , but a modifier is allowed in order to differentiate between the services provided". So, if both the procedures were performed on same finger and through same incision, you cannot bill 26055 even with any modifier.

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