Author Topic: pain managment billing  (Read 112 times)

ddcool

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pain managment billing
« on: August 31, 2020, 10:08:30 AM »
HI,

I need help pleaseeeeeeeeeeeee on modifiers on the following:
99203 25
20553 59
J1030
76942
Does this look right?   I am not sure about modifier on the 76942. These procedures are all done in one visit.

Thanks!!!

Michele

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Re: pain managment billing
« Reply #1 on: September 01, 2020, 09:28:30 AM »
It would be impossible for anyone to tell you what modifiers are needed/warranted without having access to the patient chart.  However, I am not aware of a modifier being required for the 76942 so as long as the patient chart indicates what you have documented in your question, that should be accurate.
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kristin

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Re: pain managment billing
« Reply #2 on: September 01, 2020, 08:55:20 PM »
I bill these same/similar codes a lot. Some insurances will want a 59 modifier on the 76942, it is payer specific.