Medical Billing Forum
Billing => Billing => : HMGBilling August 11, 2010, 08:24:38 PM
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I need to know how to bill a 20550 with 64405 for migraines, if its even possible.
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Code / Description
64405 N BLOCK INJ, OCCIPITAL M Rel Wt: 3.72
No bundling issues exist
20550 INJ TENDON SHEATH/LIGAMENT M Rel Wt: 2.56
Code 20550 is a component of Column 1 code 64405 but a modifier is allowed in order to differentiate between the services provided.
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but what about when you've added on a office visit with a modifier 25 and youre getting denials on the 64405
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I have ran these codes with both New PT and Est. PT codes and not getting any bundling issues except on the ten. inj whihc a mod. is allowed Are you reporting the 64405 with LT/RT as the 150% payment adjustment for bilateral procedures does not apply. If it's Medicare that you are billing There are several Medicare policies that you can access under Knowledge Base and Medicare B with keyword 'occipital nerve'.
The codes you are billing look correct based upon the info provided the -25 on the E/M is going to appear in the carriers database and you are going to need a modifier if this E/M was separate and distinct which you appear to be doing.
Why are they denying th 64405?