Wiki Septoplasty and Turbinate Fracture

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melheffley

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Caledonia, OH
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I am having problems getting a set of codes paid by one particular insurance carrier. The code combination is 30520 and 30930. This code combination clears the CCI edits, but even after appeal , the insurance still insists that the 30930 is included in the 30520.

Has anyone else ran into this problem and found a solution??
 
I'm curious - did you ever hear anything about this? The AAO seems to lean towards the fact that inferior turbinate surgery is separate from septoplasty, which I have taken to mean that the 30930 should be coded separately with the -59 modifier. But I've never gotten a definitive answer from anyone.:confused:
 
We do not have any problems with this code combination, I do add the 59* modifier although I don't think it is necessary. I would appeal again, they are two distinct seperate body sites. Good Luck
 
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