Forum - Questions & Answers

Oct 2nd, 2015 - BONE 16 

Correct dx code and modifier

Good Morning
Could yuou please tell me what is the correct ICD-9 code to bill with procedure code 11043. Also what is the correct modifier to use when billing procedure code 29826 and 23120 Thanks in advance

Oct 2nd, 2015 - petunia 195 

re: Correct dx code and modifier

29826 and 23120 would need either a 59 modifier or one of the X modifiers if approrpiate and depending on carrier.

59 Distinct Procedural Service

XE Separate encounter, a service that Is distinct because it occurred during a separate encounter
XP Separate practitioner, a service that is distinct because it was performed by a different practitioner
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components

11043 the diagnosis depends on what you are treating the patient for.. Post op infection 998.59, Necrotizing fasciitis 728.86. Cellulitis and abscess 682.X



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