• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 67904 and 15823 together

Andrea828

New
Messages
8
Location
Bayville, NJ
Best answers
0
I'm having a hard time explaining to my physician the proper way to bill out for 67904 and 15823 during same surgical session. Can he bill both for both eyes using a "59" on the 15823 or is it considered bundled and only the 67904 will get paid. The more I think about it, the more confused I get. Any help would be greatly appreciated.
 
NCCI Manual states

"CMS payment policy does not allow separate payment for a blepharoptosis procedure (CPT code 67901-67908) and blepharoplasty procedure (CPT codes 15822, 15823) on the ipsilateral upper eyelid"
 
Top