Author Topic: Lysis of adhesions  (Read 1729 times)

shellabell32

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Lysis of adhesions
« on: September 08, 2010, 12:35:10 PM »
Our Doctor did an appendectomy w/lysis of adhesions. They are bundled codes so our manager asked us to bill the one with highest value. We (the billing dept) were wondering if that is correct coding. If they did the appendectomy should that be the procedure billed (44970) or is it okay to bill for lysis of adhesions (44180) only?

Michele

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Re: Lysis of adhesions
« Reply #1 on: September 09, 2010, 06:53:12 AM »
I'm sorry, but I can't help you with this one.  This is a very specific coding question and the answer could mean fraud or no fraud, and I am not a certified coder.  I would be concerned in your position as well.  Who is supposed to do the coding for the dr?  Is the manager a coder?  As a biller the claim should come to you coded and you should bill it as it came to you.  Not make changes for payment purposes.

Best of luck in this one
Michele
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shellabell32

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Re: Lysis of adhesions
« Reply #2 on: September 09, 2010, 10:29:16 AM »
Thanks!

oneround

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Re: Lysis of adhesions
« Reply #3 on: September 14, 2010, 06:57:49 PM »
Ditto with Michele.  I believe that the 44180 is a componet of the app and can never be unbundled
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare