Author Topic: Neurology Billing  (Read 1467 times)

TxJFP

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Neurology Billing
« 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?

Michele

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Re: Neurology Billing
« Reply #1 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
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TxJFP

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Re: Neurology Billing
« Reply #2 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...

Michele

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Re: Neurology Billing
« Reply #3 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
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TxJFP

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Re: Neurology Billing
« Reply #4 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...