Billing > Billing

DME Billing

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shelbylmk:
Does anyone know of a website that I can ask DME billing questions too that is similar to this site? Please and thank you. :)

kristin:
What sort of DME billing? I do a lot of it at my job, for certain items, maybe I could help.

Unfortunately, I don't know of a DME specific forum.

shelbylmk:
I am wanting to get more info on how to code certain situations with modifiers. For example, I had a claim that denied because of the 90 day global period due to a surgical procedure. I was told by an insurance customer service rep that a modifier could be added to the claim to show that it was a separate item/procedure from the original procedure. I did speak with my supervisor and we decided to add a modifier 59 but I think that there could be a better modifier that would apply. Does anyone have any ideas?

kristin:
Well, if you are trying to bill a separate procedure unrelated to the original procedure within a 90 day global, the new procedure gets a 79 modifier. This would not apply to DME items, though. Just to procedures.

The 59 modifier is ONLY for procedures done at the same time/session, to indicate they were separate from each other.

shelbylmk:
So there wouldn't be any modifiers that I can use to separate them out then, correct?

Thank you for all your help.

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