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NJ BCBS paid with this code
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09/07/04 02:46
ellen

not registered

09/07/04 02:46
ellen

not registered

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.

09/10/04 02:36
Sara

not registered

09/10/04 02:36
Sara

not registered

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.

09/10/04 02:43
Yoram Kolerstein

not registered

09/10/04 02:43
Yoram Kolerstein

not registered

BCBS pay for NA

To Ellen: I see that BCBS NJ paid for your NA. Was the procedure done in NJ?
Thank you, Yoram.

09/13/04 02:55
ellen

not registered

09/13/04 02:55
ellen

not registered

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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appropriate   aponeurotomy   diagnosis   following   [Fasciotomy   contract   technique   additional   modifier   Another   procedure   operated   aponevrotomy   conjunction   contracture   percutaneous   treatment   network   Dupuytren   benefits