Hello,
There has been some questioning in my office about billing 97112 with CMT codes 98940-98942. There is a lot of information online stating these two codes cannot be billed together unless appropriately modified and documentation supports they were performed in separate spinal regions, but all of that information is outdated. I currently cannot find that there is a CCI edit with these two codes together, but also cannot find any updated documentation supporting that you can bill them together regardless of the area. Was this a CCI edit previously that has since been removed?
Any updated information or insights would be greatly appreciated!
Thank you!
There has been some questioning in my office about billing 97112 with CMT codes 98940-98942. There is a lot of information online stating these two codes cannot be billed together unless appropriately modified and documentation supports they were performed in separate spinal regions, but all of that information is outdated. I currently cannot find that there is a CCI edit with these two codes together, but also cannot find any updated documentation supporting that you can bill them together regardless of the area. Was this a CCI edit previously that has since been removed?
Any updated information or insights would be greatly appreciated!
Thank you!