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Wiki Need help with a procedure please!

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littlelora

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Location
Circleville, OH
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We have a patient who had a ruptured bicep tendon. One of our orthos tried to do an open repair, but when they opened the patient, the surgeon couldn't find the tendon. He did and exploration, still couldn't find the tendon so he closed the patient back up. The very next day, one of our other surgeons did the same procedure, open biceps rupture repair and was successful in repairing the tendon. Our claim for the first surgeon was billed as 24342-52. It was paid of course at a reduced rate, which is fine. The second procedure was billed as 24342-77. This is being denied as bundled with the first procedure. Any advice on how to get this paid? Thanks in advance!

Lora
 
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