Medical Billing Forum
General Category => New! => : mruiz12 March 16, 2009, 05:45:06 PM
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Can you bill cpt 99212 modifier 25 with cpt 17000,17003 dx of 782.19,782.0 and a 11402 with dx of 706.2 with modifier 51 on cpt 11402?Palmetto is stating that this is not paid seperatly.
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I'm showing that 782.19 is not a valid dx. Other than that, based on what you have described it appears that you are billing it correctly. Which procedure are they denying, the 11402?
Michele
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They denied cpt 11402 stating included with another procedure.
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Was that with the 51 modifier? If not, then I would definitely put the 51 modifier. If it had the 51 I'm surprised they denied it.
Michele