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Re: Coding questionFrom: Garry Siegel (garrys@mindspring.com)Wed Nov 1 20:16:03 2000
> >I feel that the complexity of the surgery necessitates more than the simple >coding for TAH-BSO but not sure how to do it > >we have 58180 (sub-total hyst) and -22 modifier requesting 40% above usual >fee for the hyst and plan to use also 58140 with -59 modifier for the >myomectomy as it was a distinct procedure due to unusual circumstances. > >any comments (including flames) appreciated > >Kevin Dew, MD >OB/GYN >Bardstown, KY Kevin: 58150-22 is the appropriate code to use; set whatever price you would like (since the carrier will do what it wants anyway). I hope that your op note has detail in it to reflect the justification for the "-22" modifier. As a matter of course, when I have a tough case in which I want to bill more, I say it in the op note. I don't think that billing another procedure, even with the -59, is going to fly. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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