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Billing 23430 and 23472 together

Cheryl Posted Tue 02nd of August, 2016 11:14:34 AM
I have run both codes through the CCI edits checker and it states both codes can be billed with a modifier on the biceps tendodesis repair. However, would it be correct to bill both if the total shoulder and biceps tendodesis were done on the same shoulder at the same time and through the same incision? How would it be considered a distinct procedural service?
SuperCoder Answered Wed 03rd of August, 2016 09:15:45 AM
Our expert team is working on your query. We will get back with our suggestion at the earliest. Thank you.
SuperCoder Answered Thu 04th of August, 2016 02:31:19 AM
Codes 23472 and 23430 can only be billed together appending modifier 59 on the biceps tendodesis repair, if the biceps tenodesis was done as a separate and distinct procedure from glenohumeral joint arthroplasty. Thank you.

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