shortee3810
Networker
I have a surgery denial of CPT code 25116 (dorsal tenosynovectomy) and 29844 (arthroscopic synovectomy) as mutually exclusive to 25320. When reading the description of 25320 it states "including synovectomy" therefore can understand the possibility of denial. However, CPT code 25116 I do not understand the denial since the CMS NCCI edits allow a modifier to be appended. There was a separate incision thus the reason for appending 59 modifier. By the way this is Aetna Insurance that is denying. Help! Any insight.