Fast Coder vs. Physician Coder vs. Multispecialty Coder  |  Compare & SaveLearn More!

Regular Price: $24.95

Ask an Expert Starting at $24.95

Have a medical coding question? Get definitive answers from TCI SuperCoder's Ask an Expert.

Browse Past Questions By Specialty

+View all
Lydia Posted 7 Year(s) ago

patient had a r. inguinal hernia repair and a recurrent left inguinal hernia repair at the same time. I coded:
49520Lt dx 550.91
49505RT dx 550.90

I have been denied by Medicare for 49505 as "not paid separately"

SuperCoder Posted 7 Year(s) ago

There are cases when wrong billing would cause loss of revenue, and to get back the lost revenue is difficult. This is an example. CPT 49505 and 49520 are mutually exclusive, since 49520 is column 2 code here, we should have billed: 49505-RT, 49520-59,LT

Now, we have already billed and got paid for 49520 without modifier 59. So, it is impossible to reverse the process in a normal manner. Now, if you are going to rebill 49505 with modifier 59 and RT, then it is a wrong practice.

Posted by Lydia, 7 Year(s). There are 2 posts. The latest reply is from SuperCoder.

Related Topics