Need help with CPT and modifiers for the following scenario:
Denervation of branches using transection from:
1. Superficial radial nerve
2. Lateral antebrachial cutaneous nerve
3. Palmar cutaneous branch of median nerve
As far as I understand these should be coded using CPT Code 64772. Now, lat. antebrachial cut. nerve originates from C5-C7 while both radial and median nerves originate from C5-T1.
I've narrowed it down to following possibilities:
1. 64772 X 3 (Shows an MUE edit because CPT Code 64772 has an MUE value of 2 and is also a date of service edit)
2. 64772, 64772-XS, 64772-XS (It doesn't show an edit but per CMS FAQ we need to appeal for date of service edit to claim in excess of MUE. Can't we use modifiers at all for these services to show medical necessity?)
Any help would be greatly appreciated.
Thanks!
Denervation of branches using transection from:
1. Superficial radial nerve
2. Lateral antebrachial cutaneous nerve
3. Palmar cutaneous branch of median nerve
As far as I understand these should be coded using CPT Code 64772. Now, lat. antebrachial cut. nerve originates from C5-C7 while both radial and median nerves originate from C5-T1.
I've narrowed it down to following possibilities:
1. 64772 X 3 (Shows an MUE edit because CPT Code 64772 has an MUE value of 2 and is also a date of service edit)
2. 64772, 64772-XS, 64772-XS (It doesn't show an edit but per CMS FAQ we need to appeal for date of service edit to claim in excess of MUE. Can't we use modifiers at all for these services to show medical necessity?)
Any help would be greatly appreciated.
Thanks!
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