Forum - Questions & Answers

Jun 23rd, 2014 - macsmeme

CPT® code 54300 and 54161

Would you bill these two codes together? They are not bundled in CCI edits but it appears that 54161 would be included with 54300. Thanks.

Jun 23rd, 2014 - behinkson 3 

re: CPT® code 54300 and 54161

When we have a situtation like this we add a 59 modifer to code 54161 ans appeal

Jun 23rd, 2014 - CodapediaMsgBoard 96 

re: CPT® code 54300 and 54161

I guess the question is, on what basis would you separately justify 54161? Every bundle scenario isn't addressed via CCI, and I'd think that because you can't do 54300 without doing all of the work of 54161, then it wouldn't be separately payable.



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