tci Part B Insider - 2014 Issue 22

Reader Question: Know the Ear, Nose and Throat Bundles

Question: Can we bill CPT code 31600 with codes 38724, 41120, and 42890, or are these considered bundled procedures?  Answer: According to the latest edition of Correct Coding Initiative (CCI) edits, you can bill all of these codes together. The claim would include:  31600 (Tracheostomy, planned [separate procedure])  38724 (Cervical lymphadenectomy [modified radical neck dissection])   41120 (Glossectomy; less than one-half tongue)  42890 (Limited pharyngectomy).    None of these procedures are bundled under CCI edits, but the tracheostomy is a separate procedure. That means the tracheostomy is considered inclusive whenever the surgeon performs any other procedure in...

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