Question

A 72-year-old male has an ESWL performed for a right renal calculus. At the same operative session, the same physician removes a malignant lesion from his back resulting in a 3 cm. defect and performs an intermediate repair. a. Provide the CPT codes that should be assigned for this case along with their corresponding APC. b. When this case is coded using the encoder, an edit is given. Explain the edit listed below Edit 0040 OCE-NCCI Edit is provided (OCE 0040 NCCI)-need to search CMS files for this edit c. Identify if you should bypass the edit and if so, the step(s) that would be required

Answer 1