tci Part B Insider - 2011 Issue 29

Reader Question: Consider Modifier 22 for Extra Work

Question: Our surgeons often encounter complicated recurrent ventral hernia repairs that involve infection. Can we bill for the mesh removal and new mesh placement in addition to the recurrent ventral hernia repair code?Answer: Whether the mesh placement is separately chargeable depends on the surgical approach. There is no separate code for mesh removal involved in repair of a recurrent ventral hernia.Do this for open surgery: If the recurrent ventral hernia repair is open, you can bill for the repair and the new mesh placement using two separate codes. Bill for the hernia repair using one of the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.