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billing 76000 and 75989

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MBP:
does anyone bill placing a port under fluoro? i am having the worst time with these claims, the radio guidance keeps getting denied. the codes i get from my doctor are: 36571, 75989/26 and 76000. i checked ncci and figured 76000 is bundled with 36571 and 75989 is bundled with 76000. i told this to my dr and she wanted me to apply mod 59.. i did, but still rejected.. does anyone know how to bill these together? i have tried to search online, but couldnt find anything even about billing 76000 and 75989 together..  ???

Michele:
Which code did you apply the 59 modifier to?

MBP:
i applied it to 76000 b/c it is bundled with 36571. it got rejected, i submitted again with 59 with both, 76000 and 75989, rejected, so i submitted with 59 on 76000 and 51 and 59 with 75989, b/c 75989 is bundled with 76000.. all rejected. running out of options, i thought i would ask for an advice here before sitting on hold for 45 mins when i call medicare..

blhoffman:
http://sz0013.wc.mail.comcast.net/service/home/~/CHAP9-CPTcodes70000-79999_final083109.pdf?auth=co&loc=en_US&id=43661&part=2

This is from CMS Claims Processing Manual. It has really good information in it. The manual is updated for 2010 - page IX-11. I found the whole thing interesting, but then again - I'm a dork  ;D

I hope it is helpful to you. I'm not sure if the link will work. I hope so.


Brenda

Michele:
Dorks are what keep the world moving forward!   ;D

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