William Ivan Posted Wed 09th of January, 2019 13:14:16 PM
UHC is bundling cpt 26442 into cpt 26356. We sent in op report showing that both services were performed and the billing of a '59' on 26442 is valid. After review of records UHC states our records do not support the procedure was distinct or independent from other services performed, therefore the use of 59 modifier is not supported. Do we need to update the modifier used on 26442 or should we move forward with an appeal?
SuperCoder Answered Thu 10th of January, 2019 03:24:51 AM
Hi CPT Repair or advancement flexor tendon in zone digital flexor tendon sheath eg no man's land primary without free graft each tendon is used when surgeon repairs or advances a single flexor tendon located in no man's land The physician makes volar digital incision over the skin of the...