Billing > Facility Billing

Billing 11721 with 11055 or 11056

(1/6) > >>

djk:
Medicare is bundling these codes and shouldn't be.  Any suggestions on how they should be billed.

Merry:
I am not a coder but since these are podiatric codes,  Medicare only pays under certain circumstances.. Relating to certain diagnoses such as diabetes, peripheral neuropathy etc. I would check the guidelines on your MAC site. 

kristin:
I bill for six podiatrists in four different MAC's, and each of those MAC's will only pay if each code has a 59 modifier on it. This is in addition to have proper dx's, Q modifiers if needed, and LDS if needed.

djk:
I have tried to bill with the Modifer 59 and it was denied for invalid modifier.

Michele:
It's really hard to tell without all of the info in front of us.  We don't know dx's, dx pointers for each code, and any modifiers billed.

Navigation

[0] Message Index

[#] Next page

Go to full version