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Kathy Posted Tue 12th of December, 2017 13:32:52 PM
Why are there no CCI edits for these 2 codes? They are supposedly not bundled, per CCI, but if a provider is performing an I&D and a debridement at the same site shouldn't they be bundled? My issue, is I can't find any supporting documentation. Please provide me with the actual guidelines for this type of issue, so I can show my providers why these are being denied and why appealing is unsuccessful. Thanks.
SuperCoder Answered Wed 13th of December, 2017 06:16:11 AM

Hi, Our team is working on it. We will get back to you soon.

SuperCoder Answered Thu 14th of December, 2017 05:58:13 AM

Hi,

You are correct that there is no CCI edits for these 2 codes, beacause they can billed on same DOS if performed on separate site. if a provider is performing an these procedures at the same site they would be bundled.

Please find the below link:

https://www.supercoder.com/coding-newsletters/my-general-surgery-coding-alert/use-musculoskeletal-codes-for-deep-abscess-id-article

Thanks

 

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