Author Topic: BILLING FOR A9500 AND A9505 ANOTHER QUESTION  (Read 3112 times)

KARREN

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BILLING FOR A9500 AND A9505 ANOTHER QUESTION
« on: March 11, 2011, 06:46:27 PM »
I'm a still a little confused:
senario:  john doe was seen for 78452, 93015, A9500, A9505, J2785
i received a fee slip to bill as follw.. 
78452 both tc and pc     
93015 no modifier

medication charge
A9500 Sestamibi/Cardolite: both tc and pc
A9505 Thallium : both tc and pc
should I bill like mentioned above or

Is the correct way to bill like this:  78452 TC, 93015, A9500 , A9505 and J2785
the only one with a mod is 78452 then once the test is read.. bill 78452 26

is this correct to say that medication charges have to be billed globally?



Michele

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Re: BILLING FOR A9500 AND A9505 ANOTHER QUESTION
« Reply #1 on: March 13, 2011, 07:33:58 AM »
I'm confused too, if they are doing both the TC and the PC (26) why are they not just billing the code with no modifier to indicate global?  Is it because the test wasn't read at the same time?
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KARREN

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Re: BILLING FOR A9500 AND A9505 ANOTHER QUESTION
« Reply #2 on: March 14, 2011, 06:43:28 PM »
yes, the test is being read later.      the medication have to be billed w/o any modifers, is this correct?
« Last Edit: March 14, 2011, 06:46:45 PM by KARREN »

Michele

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Re: BILLING FOR A9500 AND A9505 ANOTHER QUESTION
« Reply #3 on: March 15, 2011, 06:59:03 AM »
I've never used modifiers on the Medication.
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