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sanjit please

SuperCoder Posted Sat 17th of December, 2011 01:43:29 AM

ok so if the doctor has to reopen an incision to move the ears back not for cosmetic reasons, is there a another code i can use like scar revision so this can get paid they ins wont pay for cosmetic reasons and this was not done for that he had to reopen behind the ears to pull them back to where they were .thanks

SuperCoder Answered Sun 18th of December, 2011 23:56:19 PM

No specific CPT code for this.
So, you can code 69399. But, submit the claim with mentioning the equivalent code as:"69300"

SuperCoder Posted Mon 19th of December, 2011 21:57:27 PM

what do you mean sanjit "with mentioning"

SuperCoder Answered Mon 19th of December, 2011 22:37:04 PM

69399 is an unlisted procedure which will get rejection for it doesn't have any fee value.
*
Whenever we submit any "unlisted procedure" for example CPT 69399 here, we have to file claim and send Medical Records to the Insurance stating that there is no specific code for the said procedure, so unlisted procedure code 69399 was billed with the reimburseemnt expected of the same level when we submit an equivalent code 69300.

SuperCoder Posted Tue 20th of December, 2011 15:32:40 PM

so there is no other cpt i can use when the doctor had to go back reopen an incision in the back of the ears to put them back to normal again correct??

SuperCoder Posted Tue 20th of December, 2011 15:32:42 PM

so there is no other cpt i can use when the doctor had to go back reopen an incision in the back of the ears to put them back to normal again correct??

SuperCoder Answered Tue 20th of December, 2011 16:07:45 PM

Correct.

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