Wiki 61782 with 30520? and not billing 41599

[freespririt0806]

I came across an account where one of my offices billed 30520 and 61782, there is not a CCI but I question the need for use of 61782 navigation on a septoplasty....I asked if they get paid on the 61782 and was told on some case. I feel this not right......thoughts please

then I coded a repair tongue laceration, and 41599 for cautery of lingual artery and was told no that it is included in the repair, I think separate location, separate procedure. But it was not billed at manager discretion.

 

[freespririt0806]

so I guess no one bills 61782 with a septo and gets paid , that's what I figured, I do not think it should be billed

thank you

 

[b.cobuzzi]

61782 should not be billed with 30520
But there may be instances when the otolaryngologist is performing the approach to a skull surgery for the neurosurgery and then 61782 would be performed. Surgeons often indicate that a 30520 is performed, but in reality a 30520 is not billed, but the cosurgery with the neurosurgeon is coded such as a neuroendoscopy for excision of a pituitary adenoma, Both surgeons code the same code, ie: 62165 with a 62 modifier.

 

[freespririt0806]

61782 should not be billed with 30520
But there may be instances when the otolaryngologist is performing the approach to a skull surgery for the neurosurgery and then 61782 would be performed. Surgeons often indicate that a 30520 is performed, but in reality a 30520 is not billed, but the cosurgery with the neurosurgeon is coded such as a neuroendoscopy for excision of a pituitary adenoma, Both surgeons code the same code, ie: 62165 with a 62 modifier.

Thank you , i can not get this biller to stop billing this with a legitimate septo only, no other procedures that would warrant 61782. I have never seen this before and was quite surprised to see them billed together