Medical Billing Coding - Medicare denied CPTs 33216/33234/33263, cpt, codes
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Thread Topic: Medicare denied CPTs 33216/33234/33263
Topic Originator: Lucy Peterson
Post Date March 29, 2013 @ 4:02 AM
Medicare denied CPTs 33216/33234/33263


Lucy Peterson
March 29, 2013 @ 4:02 AM Reply  |  Email Friend   |  |Print  |  Top

Hi everyone,

I billed 33216/33234/33263 in one claim and Medicare denied them all.

What modifier should I use for each of those CPTs so that the claim can be paid by Medicare please?

Thanks much!

Kevin
April 3, 2013 @ 11:08 AM Reply  |  Email Friend   |  |Print  |  Top

Thats easy. Modifier 59

Lucy Peterson
April 3, 2013 @ 9:10 PM Reply  |  Email Friend   |  |Print  |  Top

It's great to hear from you, Kevin.

Many thanks!

Kevin
April 4, 2013 @ 7:41 AM Reply  |  Email Friend   |  |Print  |  Top

You have 3 separate cardiac services.  Mod 59 is for separate procedures.  We use mod 59 and we get paid.



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