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coding a double procedure.

Pamela Posted Wed 04th of January, 2012 01:40:32 AM

We are coding a double procedure and the use of an assistant physician. When we code
Primary doctor 60240 and 60500-59
Assistant doctor 60240-80 and 60500-80-59
we get a message saying CCI edit says codes are bundled but it does qualify for a modifier if needed.

SuperCoder Answered Wed 04th of January, 2012 10:20:16 AM

I think you don't have any doubt regarding usage of coding, but I presume you have issues regarding denials, because I have witnessed denials with these coding combinations.
Please clarify the exact question?

Pamela Posted Thu 05th of January, 2012 03:22:53 AM

Yes we received an denial for this. However, before we have been paid. However in our system we get a message saying CCI edit says codes are bundled but it does qualify for a modifier if needed. Is the 60240 bundled in the 60500

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