Author Topic: palmetto gba billing problems  (Read 1680 times)

mruiz12

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palmetto gba billing problems
« 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.

Michele

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Re: palmetto gba billing problems
« Reply #1 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
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mruiz12

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Re: palmetto gba billing problems
« Reply #2 on: March 17, 2009, 12:42:21 PM »
They  denied cpt 11402 stating included with another procedure.

Michele

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Re: palmetto gba billing problems
« Reply #3 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
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