Medical Billing Forum

Billing => Billing => : Ncrodd24 January 21, 2010, 12:06:39 PM

: coding and billing
: Ncrodd24 January 21, 2010, 12:06:39 PM
I have a claim of which consist of 16 units for the cpt code 88305.  Medicare is denying this claim stating the number of units of service exceeds our acceptable maximum.  I knew they werent going to pay for all of the units, however I at least thought they would pay the units they allowed.  Is there anyway I can get them to do this?
: Re: coding and billing
: Michele January 25, 2010, 12:21:28 AM
I would call Medicare and ask them.  If they cannot help, then I would bill two separate lines, the first with the allowable number of units, and the rest on the second line with a 59 modifier.

Michele