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Arul karthik Answered Tue 06th of September, 2011 16:32:42 PM

When can re-exploration 63042 can be used? it is a time frame between the first surgery and re-exploration, or if the patient has a spine scar and the doctor reopens the same one is called reexploration?

Thank you.

SuperCoder Answered Tue 06th of September, 2011 17:48:35 PM

Whenever there is re-exploration of the same site, mostly these are included in the first procedure and are not billed separately. But, with the re-exploration performed at a different levels of vertebral interspace, then you can use modifier 59 with re-exploration, and report both the procedures.

Arul karthik Answered Wed 07th of September, 2011 17:48:51 PM

It is the same site, but the initial procedure was done by another physician, don't know where or how many months ago. Patient has a previous scar/ instrumentation.

SuperCoder Answered Thu 08th of September, 2011 04:15:39 AM

In such a case(as there is no past info available with you), you can in a position to analyze it better, after billing 63042, if a denial comes.

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