Medical Billing Forum

Billing => Billing => : binal05080 July 10, 2019, 04:31:32 PM

: Coding
: binal05080 July 10, 2019, 04:31:32 PM
Hello all,
What code can be corrected from this...
Dx code M47.817


Code      POS TOS    M1      M2       Units                  Error
64635     11     2       LT      X2         1                    CO-50 M25 N115
64636     11     2       LT      X2         2                    CO 234 N390
99070     11     9                             1                    CO 97 N19


To correct codes for different levels.
: Re: Coding
: binal05080 July 11, 2019, 12:30:51 PM
Can anyone give me some suggestion on this issue..
: Re: Coding
: Michele July 11, 2019, 05:54:15 PM
It is not possible to answer your question simply based on the information provided.  But I would suggest that you look for an NCD/LCD for codes 64635 and 64636.

https://med.noridianmedicare.com/documents/10546/6990981/Facet+Joint+Injections%2C%20Medial+Branch+Blocks%2C%20and+Facet+Joint+Radiofrequency+Neurotomy+LCD/64ee52e3-7c96-4729-b92b-5a0c41a0a6e0 
: Re: Coding
: binal05080 July 12, 2019, 10:05:34 AM
Error shows : This service/report cannot be billed separately.Procedure code incidental to primary procedure. Based on LCD dx code M47.817 is active. So which code needs to be corrected.
 
: Re: Coding
: kristin July 12, 2019, 11:57:07 AM
Check the NCCI/CCI edits for the codes, and it will tell you which code needs to be corrected.
: Re: Coding
: binal05080 July 12, 2019, 04:19:36 PM
Not much of help to resolve this...
: Re: Coding
: PMRNC July 12, 2019, 08:01:25 PM
Not much of help to resolve this...

Clearly your not understanding, It is very obvious you are outside the U.S. so don't expect U.S. billers to jump through hoops to help you. 
: Re: Coding
: Michele July 14, 2019, 07:16:04 PM
Not much of help to resolve this...

I find this offensive.  Clearly people have tried to help you but we've also indicated that we don't have all of the information to be able to resolve the issue completely.  When did it become our jobs to help you do yours?  This is a forum where billers can come to ask questions, get help, search previous threads for research, or help others.  It is free.  You come on with a question and give minimal information and then get upset because no one gave you the answer you are looking for. 

Did you look at the NCCI/CCI edits that Kristen suggested?  The N115 code usually references an LCD.  Did you read that? 
: Re: Coding
: binal05080 July 15, 2019, 10:14:45 AM
Sorry  , I am not upset nor being offensive. Thts ok for me . What is lacking in my information. Yes, I did check NCCI but there was no information for the code 64405.