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How many units will Medicare pay for cpt code 88305? When submitting a claim with more units than the allowed amount,how do I get them to pay for the units they do allow?

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Author Topic: coding and billing  (Read 2579 times)

Ncrodd24

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coding and billing
« on: January 21, 2010, 12:06:39 PM »
I have a claim of which consist of 16 units for the cpt code 88305.  Medicare is denying this claim stating the number of units of service exceeds our acceptable maximum.  I knew they werent going to pay for all of the units, however I at least thought they would pay the units they allowed.  Is there anyway I can get them to do this?

Michele

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Re: coding and billing
« Reply #1 on: January 25, 2010, 12:21:28 AM »
I would call Medicare and ask them.  If they cannot help, then I would bill two separate lines, the first with the allowable number of units, and the rest on the second line with a 59 modifier.

Michele
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Medical Billing Forum

Re: coding and billing
« Reply #1 on: January 25, 2010, 12:21:28 AM »