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Tonsillectomy and Tissue Welding tonsillectomy

Kimberly Posted Tue 22nd of January, 2013 23:20:01 PM

What CPT code is appropriate for 'Tissue Welding Tonsillectomy'?

Can I use CPT 42826 with modifier 22 or should I use unlisted code?
Please help! Can we use mod-22 for Facility/ASC billing? Thanks!

SuperCoder Answered Wed 23rd of January, 2013 21:23:31 PM

A tonsillectomy can be performed by cryo, laser, and electocautrey methods.I would prefer using standard codes only for these procedures..

When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient’s condition, physical and mental effort required).

Modifier 22 is not allowed for Facility/ASC

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