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    Wiki CPT 30140 being paid at the facility rate

    When we perform BITS (30140) in the office all the insurance companies pay this procedure at the facility rate and not the non-facility rate. Is this happening to anyone else? Does anyone know why they would pay that code at a facility rate even when it is done in the office/POS 11? Any and all...
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    Wiki Facility payment vs Physician payment

    Hello...I need some help please. I do billing for an ENT group....my question is; If my provider performed a sinus surgery at POS 22 or 24 will he be reimbursed at the facility contracted rate or the physician contracted rate?
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    Wiki CPT 31237 W/Modifier 79

    Patient had FESS. During post op doctor billed 31237-50-79, insurance is denying modifier 79 as invalid/not appropriate modifier with procedure code. I have read articles that say modifier 79 is appropriate with 31237 during post op but I have also read that it is not appropriate. When...
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    Wiki Aetna - CPT 30520 - Denied POS

    Has anyone had an Aetna denial for POS for 30520 done in office? If yes, please let me know what you have done to get this paid or if you have found something stating Aetna does not pay 30520 in POS 11. Thanks In Advanced, Gail
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    Wiki Modifier??

    I work for a Urology Practice - I'm trying to get CPT Code L8606 pd - Can anyone tell me what modifier is needed?
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