nyyankees
True Blue
I need a little input here. when a dr peforms a total shoulder and rotator cuff repair (RCR) do you bill out both AND get paid? I always follow the NCCI edits and ONLY bill out with a 59 mod if the dr CLEARLY documents a separate issue.
Am I wrong? Can you always bill out a RCR with a Total Shoulder and just add 59 mod to bypass edit?
I a little confused on this. Thanks....![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Am I wrong? Can you always bill out a RCR with a Total Shoulder and just add 59 mod to bypass edit?
I a little confused on this. Thanks....