Wiki Coding question

[klienhart]

Can 27495 and 20680 be billed together? Code description for 27495 says removal of Superficial implant cannot be billed, but does not say anything about removal of deep hardware.

Thank you.

 

[kivbar16]

There are no NCCI edits for the two codes you mention, however the description you list for 27495 does not match that in Encoderpro, which is:
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur
I think you have the wrong code noted above.

 

[shecodes]

Per Chapter 4 of the NCCI Manual - "There are CPT codes (20670 and 20680) for removal of internal fixation devices (e.g., pin, rod). These codes are not separately reportable if the removal is performed as a necessary integral component of another procedure."

If the hardware removal was necessary to perform the other procedure, it would not be appropriate to report 20680.

 

[Gwen4188]

For Telehealth billing Medicaid HMO plans special population clients (MLTSS, DSNP, DDD), how would we bill (CPT code H0035, modifier GT or 95 , Place of Service 02 , do we need to obtain authorization )?

 

[Mayzoo]

For Telehealth billing Medicaid HMO plans special population clients (MLTSS, DSNP, DDD), how would we bill (CPT code H0035, modifier GT or 95 , Place of Service 02 , do we need to obtain authorization )?

For your question to be seen and answered, you would need to start a new thread. Very few people will see it here.