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Wiki Surgery

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scutler

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Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?

Thank you.
 
scutler said:
Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?

Thank you.
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There is a NCCI edit for 67040 and 67028. A modifier is allowed to override the relationship.

If the procedures are on different eyes, you could use a modifier to override the NCCI edit.

(Note - the above answer is based on my knowledge of NCCI edits in general. I'm not an opthalmology coder. However, different eyes would be an appropriate use of a modifier to override an edit.)
 
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