But.... just because you add -59 and appeal does not mean you will get pd....

If you had to remove the hardware in order to explore the fusion, then you can not bill separately, that is why there is an edit.

Per correct coding standards if one procedure is necessary to accomplish the overall procedure, they are inclusive.

The indicator of 1 tells you - you may bill for and get reimbursed if appropriate.... It would only be appropriate if done at separate anatomic sites or separate pt encounter.

www.cms.hhs.gov/NationalC...fier59.pdf

www.ericacodes.com/Unbundling.htm

:) Erica