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3D Scaning CPT CODES

Lina Posted Mon 24th of November, 2014 11:22:42 AM

Can you please help me with modifiers when coding
this 3D scan test:
93040
95921
95943
95923

SuperCoder Answered Mon 24th of November, 2014 16:45:25 PM

Thank you for your question.

Based on CCI edits, it should be coded as follows:

95923
95921
93040-59

95943 is bundled with 95921 and cannot be billed.

Please see CCI edits below:

Code 93040 is a column 2 code for 95921 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 93040
CCI edit Rule:
Standards of medical / surgical practice

Code 93040 is a column 2 code for 95943 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 93040
CCI edit Rule:
Standards of medical / surgical practice

Code 93040 is a column 2 code for 95923 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 93040
CCI edit Rule:
Standards of medical / surgical practice

Code 95943 is a column 2 code for 95921, These codes cannot be billed together in any circumstances.
Code 95943 is bundled into code 95921 Code 95943 cannot be billed with 95921.

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