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Urology Coding Alert

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Puzzle out Correct Modifier to Break NCCI Edit

Published on Mon May 10, 2021

Question: I’m having a difficult time understanding the NCCI edits between codes 52346 and 52356. My physician performed the procedures on the same side, but NCCI says both are not reportable, and I understand that. What I don’t get is why the higher-valued procedure, 52346, looks like it is bundled into the lower-valued procedure, 52356. I’ve seen this in other [...]
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