tci General Surgery Coding Alert - 2009 Issue 13

Stop Forfeiting up to $779 for Appendectomy Procedures

2 requirements open the door to adding on 44950-44970. Do you assume payers will bundle appendectomies into most other abdominal procedures? Automatically skipping over the appendectomy codes for every case could cost your surgeon approximately $80 to $779 in deserved reimbursement.  There are circumstances when you can -- and should -- separately report appendectomy procedures. Here's how to capture added pay without unbundling.  'Healthy' Removal = No Pay  Medicare and most other payers will not pay separately for the removal of a healthy appendix.  Reasoning: Surgeons may perform appendectomies during the course of more extensive abdominal...

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