Coding > Coding

Medicare Reimbursement for 64555-SG, Surgical procedure

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Ruthie1972:
You would have to call Medicare and verify that the payment is correct, I have come across claims being paid twice due to submitted duplicate claims with different amounts due to the PQRI. Maybe they just want to see your "problem solving" skills?

BikhamHCare:
What it seems to me, the claim is meant to be processed by your Insurance Company. Even though, standard charges for the procedure fluctuates from State to State – it is advised to better consult your Insurance provider. In majority of the cases received charges are listed along with, “what can be paid and what is to be denied”. Google doesn't seem to help much in providing the prominent solution to your query, it would be advised if you could go look for an offline expert advise for 64555-SG.

HABA:
Medicare discontinued "SG" Modifier in 2008.

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