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Abscessogram and tube change in same setting
Date: May 22, 2012
Question:
In your IR coding reference page 382 example 1 you state we can code an abscessogram and an abscess catheter change together with not modifiers. So for these we code 49424, 49423, 76080 and 75984. We have a situation where Medicare is denying the 49424 and 76080 is bundling with 49423. There is not NCCI edit saying any modifier has to be used as per your example. So my question is have you seen that Medicare is no longer allowing 49424 with 49423? Would you appeal these to Medicare? Thanks for your help. Julie
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