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coding and billing

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Ncrodd24:
I have a claim of which consist of 16 units for the cpt code 88305.  Medicare is denying this claim stating the number of units of service exceeds our acceptable maximum.  I knew they werent going to pay for all of the units, however I at least thought they would pay the units they allowed.  Is there anyway I can get them to do this?

Michele:
I would call Medicare and ask them.  If they cannot help, then I would bill two separate lines, the first with the allowable number of units, and the rest on the second line with a 59 modifier.

Michele

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