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09/06/2004 23:46
ellennot registered
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09/06/2004 23:46
ellennot registered
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NJ BCBS paid with this code
NJ BCBS paid my NA procedure under the following:
CPT code 26040 [Fasciotomy, palmar (eg, Dupuytren's contracture; percutaneous)] is an appropriate code for needle aponevrotomy/aponeurotomy. Another code, 26045, is for the open technique.
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09/09/2004 23:36
Sara
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09/09/2004 23:36
Sara
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CPT Codes
26045 is for the open treatment - it covers the palm and one finger. If an additional finger is operated on, code 26043 needs to be used in conjunction with 26045. And code 26043 will need a 51 modifier in order to be paid. The ICD-9 code (diagnosis) is 728.6.
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09/09/2004 23:43
Yoram Kolersteinnot registered
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09/09/2004 23:43
Yoram Kolersteinnot registered
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BCBS pay for NA
To Ellen: I see that BCBS NJ paid for your NA. Was the procedure done in NJ? Thank you, Yoram.
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09/12/2004 23:55
ellennot registered
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09/12/2004 23:55
ellennot registered
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procedure done in FL
I have a PPO contract, so even though I had the procedure in FL with Dr. Eaton, the plan paid out of network benefits for the FL NA procedure.
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