Wiki 69990 billing

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MaryannR

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1 co-surgeon bills for 22551; 22552;22845 and 22851 all with modifier 62- then bills 20930;20936; 69990 and 76000-26.

In this instance should the 69990 be allowed- and not considered an inclusive component of 22551 and 22552?
 
69990 is inclusive per NCCI standards. You can code 76000-59 if the diagnostic procedure which precedes a therapeutic procedure only when the diagnostic procedure is the basis for performing the therapeutic procedure though. If not the case, 76000 is included as well. You may want to check with the payer to see if it is allowed if it is a commercial payer. :)
 
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