tci General Surgery Coding Alert - 2020 Issue Q4

Reader Questions: Site Drives Coding for Procedure Plus Hernia

Question: When billing multiple surgeries, such as a laparoscopic cholecystectomy and hernia repair, if the patient is seen in the office and scheduled to have both in the same operative setting, can we bill both procedures with modifier 59 showing that they are separate procedures/separate organs? North Carolina Subscriber Answer: The answer depends on whether the laparoscopic cholecystectomy and the hernia repair are at different sites. Just because the surgeon schedules both procedures in advance and they are “separate procedures” doesn’t warrant separate billing. If you document that the procedures are at different anatomic sites (separate incisions)...

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