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Wiki - Billing 58662 with 58661 | Medical Billing and Coding Forum - AAPC 58660 is a column 2 (never allowed) CCI edit for both 58661 and 58662 The insurance should not have paid separately for 58660 in the first place If the lysis of adhesions are significant (> 1 hour) and described in the op note, I bill the primary procedure with -22 modifier and prepare an appeal letter
Same Day 58661, 58862 Reporting? Check Payer Habits - AAPC When your payer bundles 58661 and 58662 and you know the surgery is in two different places, you would tack on modifier 59 (Distinct procedural service) to the code the payer is bundling
58661 vs 58662 | Medical Billing and Coding Forum - AAPC The 58662 describes fulguration Fulguration, also called electrofulguration, is a procedure to destroy tissue (such as a malignant tumor) using a high-frequency electric current applied with a needlelike electrode I would use the 58661 because the cyst is being removed, not using fulguration Also, the ovarian cyst is an adnexal structure Thanks!
Wiki - CPT 58660, 58661 and 58662 together | Medical Billing and Coding . . . 58660 for the lysis of adhesions is a NCCI column 2 edit for both 58661 and 58662 Basically, lysis of adhesions is included in almost all surgeries, whether laparoscopic or open If the lysis of adhesions is extensive, and documented as such, then sometimes -22 is warranted on the main procedure I would code this as: 58662 58661-XU-RT While the 58661 is not an edit, many carriers do want to
Wiki - 58661 and 58662 | Medical Billing and Coding Forum - AAPC The bottom line of my discusssion is this: 58661 can accept and include some or partial procedures in the 58662 but not the 58662 can fold contain all that in 58661 you could try to append 22 or 59 on to 58661 with a document report from Physician explaining the whole lot of procedures done This only for discussion ! Give a trial !!
Tubal Ligation Claims: Here’s Why Some Payers May Still Balk at +58661 . . . Some payers “may push back on billing 58661 for a sterilization procedure, because the relative value units [RVUs] are higher [58661 has 11 35 when compared to 58670 with 5 91] This will not be lost on payers,” Witt says “You will still have to use the diagnosis of sterilization [Z30 2] if the primary reason for the surgery is
58661 for sterilization | Medical Billing and Coding Forum - AAPC Our providers have decided that they are going to do a salpingectomy (58661) for sterilization (z30 2) instead of a tubal ligation They read information from ACOG that it is the recommended way now Is anyone else billing these out and getting paid for them? I have the 2020 coding companion