Billing > Facility Billing
Billing 11721 with 11055 or 11056
coxoffice:
I am trying to use the modifiers you suggested and my billing program says that medicare says there is a bundle error. I'm billing 11719 59 q8 with 250.00 and 703.8 as diagnosis. I've tried it with modifier 51, 99, and still says bundle error. Any suggestions?
Michele:
Not enough info. What other codes are you billing?
coxoffice:
billing with 99213-25
kristin:
Okay, so you are billing:
99213-25
11719-59-Q8
Is that all you are trying to bill for this claim? If so, one issue is you do not need a 59 modifier on the 11719, and the Q8 doesn't work with your two diagnoses either. I don't know what dx's you are using on the 99213-25, but if they are the same as for the 11719, it will bundle. If they are different dx's, that is a different story. Another issue is the dx's you are using for the 11719...neither of those two come up on any LCD I use for nondystrophic nails, nor are they listed in the Ingenix Podiatry Coding Companion. Which MAC do you use, and have you checked their LCD for RFC coverage rules?
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