Author Topic: code 64450  (Read 3648 times)

meb

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code 64450
« on: December 30, 2009, 03:59:13 PM »
Hello,

can somebody help me.... i billed procedure code 99214 64450 and 12051 and other ones, but my question is can i ever get procedure code 64450 paid?

please help

oneround

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Re: code 64450
« Reply #1 on: December 30, 2009, 04:25:41 PM »
NOTE: Effective 1/1/09, the facility version of NCCI edits will include edits for the following categories of service: Anesthesia (00100-01999), E&M (92002-92014, 99201-99499), and MH (90804-90911). Prior to 2009, these code pairs were excluded from the facility edits.

Code / Description 
64450  N BLOCK, OTHER PERIPHERAL M  Rel Wt: 3.72   
 
 
Code 64450 is a component of Column 1 code 12051 but a modifier is allowed in order to differentiate between the services provided.
 
12051  INTMD WND REPAIR FACE/MM M  Rel Wt: 1.35   
 
 
No bundling issues exist 
99214  OFFICE/OUTPATIENT VISIT, EST M  Rel Wt: 1.32   
 
 
No bundling issues exist 
 



 
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

thelakeshow2k

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Re: code 64450
« Reply #2 on: March 29, 2010, 11:47:40 AM »
NOTE: Effective 1/1/09, the facility version of NCCI edits will include edits for the following categories of service: Anesthesia (00100-01999), E&M (92002-92014, 99201-99499), and MH (90804-90911). Prior to 2009, these code pairs were excluded from the facility edits.

Code / Description 
64450  N BLOCK, OTHER PERIPHERAL M  Rel Wt: 3.72   
 
 
Code 64450 is a component of Column 1 code 12051 but a modifier is allowed in order to differentiate between the services provided.
 
12051  INTMD WND REPAIR FACE/MM M  Rel Wt: 1.35   
 
 
No bundling issues exist 
99214  OFFICE/OUTPATIENT VISIT, EST M  Rel Wt: 1.32   
 
 
No bundling issues exist 
 



 

is modifier -59 (for 64450) the correct way to bill the nerve block with the surgical procedure?  i went to the ncci website to see the edits.  found an excel spreadsheet for column 1 and 2 codes.... i checked today and the page doesn't exist anymore, only mutually exclusive codes (what does that mean???)

oneround

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Re: code 64450
« Reply #3 on: March 29, 2010, 04:57:23 PM »
 Mutually exclusive" codes represent procedures or services that could not reasonably be performed at the same session by the same provider on the same beneficiary.  If your going to tack on that mod. -59 you wanna make sure that your documentation supports it. If no supporting documntation then no modifier.
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

thelakeshow2k

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Re: code 64450
« Reply #4 on: April 02, 2010, 11:17:32 AM »
Mutually exclusive" codes represent procedures or services that could not reasonably be performed at the same session by the same provider on the same beneficiary.  If your going to tack on that mod. -59 you wanna make sure that your documentation supports it. If no supporting documntation then no modifier.

thanks for the info!!!