Forum - Questions & Answers

Apr 4th, 2011 - DebraS   67 

J0670 with 20610 Ortho office setting

Someone mentioned to me the other day using a -59 mod on J0670 and bill it with 20610 and J1030. Everything I find this anesthetic is included and have no idea where this person got her information from. Can you give some other information on this I can share with this person? Or am I the one that has misinterpreted the guidelines? Thanks

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Apr 4th, 2011 - jschmutz   323 

re: J0670 with 20610 Ortho office setting

Read the Surgery Guidelines in CPT®, "CPT® Surgical Package Definition" which states that local infilteration, metacarpal/metatarsal/digital block or topical anesthesia is always included in any given CPT® surgical code.


 


You shouldn't be reporting the topical anesthesia or digital block with OR without a 59 modifier. This would be inappropriate unbundling.

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