tci Outpatient Facility Coding Alert - 2019 Issue 5

Case Studies: Properly Account for Bundling, Laterality, Modifiers in This Surgical Example

When in doubt, report modifier 59 over X{EPSU}. If you’re working on a detailed surgical report, you know there’s more involved behind the scenes than the mere reporting of CPT® codes. While the determination of the correct code(s) is important, you’ve got to consider a plethora of additional factors such as bundling edits, coding guidelines, and modifiers. That’s why today, you’ll be tasked with working through a surgical report that will force you to channel everything you’ve learned as a coder to get to the correct answer. Take a step-by-step approach to this...

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