Medical Billing Forum

General Category => New! => Topic started by: mruiz12 on March 16, 2009, 02:45:06 PM

Title: palmetto gba billing problems
Post by: mruiz12 on March 16, 2009, 02:45:06 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.
Title: Re: palmetto gba billing problems
Post by: Michele on March 16, 2009, 07:31:27 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
Title: Re: palmetto gba billing problems
Post by: mruiz12 on March 17, 2009, 12:42:21 PM
They  denied cpt 11402 stating included with another procedure.
Title: Re: palmetto gba billing problems
Post by: Michele on March 17, 2009, 07:48:58 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