trishj12
Contributor
I am currently in a discussion regarding codes entered on a claim when NCCI does not allow payment when billed certain codes are billed together. Example: billing 49000, lysis of adhesions, and billing 44120, enterectomy, or with a choleycystectomy. One opinion is that the claim should reflect the procedures performed for "coordination of care". Another opinion is that certain codes are inherently a part of some codes as indicated by NCCI edits and correct coding should not list a code as part of another code. Please help with supporting evidence and your professional opinions.
Thank you!
Thank you!