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surgical codes

Rana Posted Wed 22nd of January, 2020 09:40:13 AM
what codes do i need to bill first and with what modifier for each line 67924 w/ H02.035, 67917 W/H02.112, 67911 W/H02.532, 15275 W/H02.535 AND 67800 W/H00.12 These were done in outpatient surgery center but billing as professional. This is billed to Medicare. thanks
SuperCoder Answered Thu 23rd of January, 2020 02:34:02 AM

Hi Rana,

 

Kindly bill in the below mentioned manner. Codes are billed as per their descending RVU values.

 

  • 67924
  • 67917-59
  • 67911-59
  • 15275
  • 67800

 

Code 67917 is a column 2 code for 67924, but you may use a CCI-associated modifier to override the edit under appropriate circumstances. Use modifier 59 with CPT code 67917 if your documentation supports distinct procedural service.

 

Code 67911 is a column 2 code for 67917, but you may use a CCI-associated modifier to override the edit under appropriate circumstances. Use modifier 59 with CPT code 67911 if your documentation supports distinct procedural service.

 

Also, the provided diagnosis code cannot be verified. Use appropriate diagnosis codes as per your documentation.

 

Thanks!

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