Billing > Billing
Breathing Treatments -- Denied -- help
BREWERBILLING:
We have been getting denials on breathing treatments and I have done everything I know to correct to get paid. We've used modifiers. Re-ordered the claim importance. Anytime we do a PFT and have injections we get denied for the breathing treatment. Can anyone offer any help? Thanks in advance!
Michele:
What are they denying for? Reason? Is it one carrier, or across the board?
Michele
BREWERBILLING:
Denial code says C04 regarding the modifier. So when I bill with a modifier of 51 -- it still denies. I've tried the billing the first and then billing the 2nd 2 with 76 as well. None of the three ways has worked. It is with Medicare, Medicaid and BC.
Michele:
Have you tried calling and talking to a customer service rep? With BC you may be able to reach a provider rep. They are usually helpful. With Medicare I would ask them to point you to the LCD/NCD that covers this topic. I'm not familiar with the problem you are having, but that is what I would do.
Michele
BREWERBILLING:
Let's say you have an office visit 99204, blood draw 36415, chest xray 71020, breathing tx 94640 and PFT 64060 for 786.2, 244.9, 780.79, 493.90 and 780.60 ---- what would your billing look like with modifiers etc and that might help me see where I'm messing up....
Navigation
[0] Message Index
[#] Next page
Go to full version