Medical Billing Forum

Coding => Coding => Topic started by: Billinghelp on January 25, 2021, 12:15:24 PM

Title: Medicare Nursing for Denial
Post by: Billinghelp on January 25, 2021, 12:15:24 PM
What are the two codes that can be billed to medicare for nursing denials so the claim can be transferred to a secondary payor for processing.
For commercial payers I use 99601 and 99602 for additional hours.
This is for home infusion so I do know that the GY modifier is required, I am just unsure of what codes to use.
Title: Re: Medicare Nursing for Denial
Post by: Michele on January 28, 2021, 03:22:26 PM
I'm  sorry but I'm unsure what service you are trying to code.  Home infusion or nursing?
Title: Re: Medicare Nursing for Denial
Post by: alicecarlosmbc on February 05, 2021, 12:38:31 AM
Want to know about nursing code
Title: Re: Medicare Nursing for Denial
Post by: Michele on February 05, 2021, 01:21:54 PM
I'm not sure what you want to know about the nursing code.  The original post was asking about billing home infusion but they mentioned nursing so I asked them to clarify what they are trying to bill, home infusion or nursing services.  But they never clarified.
Title: Re: Medicare Nursing for Denial
Post by: alicecarlosmbc on February 10, 2021, 01:52:58 AM
Ok, Michele. Then if you will get any information regarding the Nursing code. please inform me.

Thank you!
Title: Re: Medicare Nursing for Denial
Post by: Michele on February 10, 2021, 08:32:36 AM
I'm sorry but I'm still very unclear as to what you are looking for.  Are you looking for cpt codes for home health?
Title: Re: Medicare Nursing for Denial
Post by: alicecarlosmbc on February 11, 2021, 02:24:53 AM
Yes, if you know, then please tell me.
Title: Re: Medicare Nursing for Denial
Post by: Michele on February 11, 2021, 06:16:06 AM
https://www.cgsmedicare.com/hhh/education/materials/pdf/home_health_billing_codes.pdf  has a ton of information on home health billing.

I hope it helps!
Title: Re: Medicare Nursing for Denial
Post by: alicecarlosmbc on February 12, 2021, 01:55:30 AM
Thank you