Medical Billing Forum

Payments => Patient Billing => Topic started by: TxJFP on February 10, 2011, 02:15:39 PM

Title: Neurology Billing
Post by: TxJFP on February 10, 2011, 02:15:39 PM
I have been trying to figure out how to get code "95934" [H-reflex test]paid from MCR and they are telling me it has something to do with the units, which are "2". Should I be billing this with "95936" or "95934 - mod 50" for the two units used?

Has any came across a similar situation when billing for a neurolgist?
Title: Re: Neurology Billing
Post by: Michele on February 11, 2011, 08:54:03 AM
We currently bill the 95934 with 2 in the units.  I don't use the 50 mod, but I haven't had any to Medicare specifically.  We do not bill the 95936.  What is the denial saying?

Michele
Title: Re: Neurology Billing
Post by: TxJFP on February 11, 2011, 09:30:20 AM
"The number of days or Units of service exceeds our acceptable maximum."

This is their first visit of the year with this provider too...
Title: Re: Neurology Billing
Post by: Michele on February 11, 2011, 09:31:48 AM
Have you called to talk to a customer service rep?  I would do that and ask them to point you to the guidelines in the LCD or NCD's.

Michele
Title: Re: Neurology Billing
Post by: TxJFP on February 11, 2011, 10:07:52 AM
Yes I went onto trailblazer.com to print out the LCDs for this code.
I'm looking to call after lunchtime today CST. :)

Thanks so far for your help...