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I see you are in Pennsylvania - if Medicare advantage plan: code per LCD. If you are performing the procedure in an ASC setting then it is 64635 - RT,LT (first level, two separate lines) per Novitas A56670. ***Remember these codes are limited to no more than (2) sessions, per region, per...
Can anyone direct me to where I can research the law on a specific coding/billing issue? This patient is Cigna only and in regards to anesthesia.
my email is whitneyprosperie@gmail.com
I agree with Lisa. I am having issues with my carriers and having to attach my LCD's/policy guidelines for my providers to review and make dx corrections. Right now we are dealing with Cigna not paying. If you are having issues with Cigna, I have called and spoke with the 5 different reps...
I code for an ASC in Louisiana. Hoping someone could point me in the right direction or if anyone is having the same issue. I'm helping out my denials specialist on this procedure. All of our Medicare Advantage plans are denying 0275T. The one insurance in particular we are the most...
64640 is correct. How many times do you bill it in one session where the provider is doing "bilateral obturator and femoral (sensory branches) denervation?" Is it 64640 x2 with mod 50 or just 64640 with mod 50?
The ABN modifiers.....in what order do they go? I am receiving conflicting information.
Example: 01992 QZ, QS, P1, GA
OR 01992 QZ, GA, QS, P1
OR 01992 GA, QZ, QS, P1