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Unbundling 74177

Date: Jun 13, 2014

Question:

We had a patient come in and the order was for CT abdomen with contrast. The tech did both the abdomen and pelvis, so of course our dictation reads for both and we charged code 74177. A pre-authorization was done for code 74160 and now the facility is wanting us to change the code to 74160 due to tech error. My question is, can we do that since the documentation states both, or could we separate the charges to 74160 and 72193 and not charge the pelvis and rebill code 74160? What would be the best way to handle this?

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