Medical Billing Forum

General Category => New! => : mruiz12 March 16, 2009, 05:45:06 PM

: palmetto gba billing problems
: mruiz12 March 16, 2009, 05:45:06 PM

Can you bill cpt 99212 modifier 25 with cpt 17000,17003 dx of 782.19,782.0 and a 11402 with dx of 706.2 with modifier 51 on cpt 11402?Palmetto is stating that this is not paid seperatly.

: Re: palmetto gba billing problems
: Michele March 16, 2009, 10:31:27 PM

I'm showing that 782.19 is not a valid dx.  Other than that, based on what you have described it appears that you are billing it correctly.  Which procedure are they denying, the 11402?

Michele

: Re: palmetto gba billing problems
: mruiz12 March 17, 2009, 03:42:21 PM

They  denied cpt 11402 stating included with another procedure.

: Re: palmetto gba billing problems
: Michele March 17, 2009, 10:48:58 PM

Was that with the 51 modifier?  If not, then I would definitely put the 51 modifier.  If it had the 51 I'm surprised they denied it.

Michele