Medical Billing Forum
Payments => Patient Billing => : TxJFP February 10, 2011, 05:15:39 PM
-
I have been trying to figure out how to get code "95934" [H-reflex test]paid from MCR and they are telling me it has something to do with the units, which are "2". Should I be billing this with "95936" or "95934 - mod 50" for the two units used?
Has any came across a similar situation when billing for a neurolgist?
-
We currently bill the 95934 with 2 in the units. I don't use the 50 mod, but I haven't had any to Medicare specifically. We do not bill the 95936. What is the denial saying?
Michele
-
"The number of days or Units of service exceeds our acceptable maximum."
This is their first visit of the year with this provider too...
-
Have you called to talk to a customer service rep? I would do that and ask them to point you to the guidelines in the LCD or NCD's.
Michele
-
Yes I went onto trailblazer.com to print out the LCDs for this code.
I'm looking to call after lunchtime today CST. :)
Thanks so far for your help...