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Wiki 01991, 01992, 01935, 01936

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Melissa*Ever*Evolving

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Muncie, IN
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Hello,

I have been seeing a ton of MAC anesthesia cases for injections performed by other doctors. These injections mainly all say "anesthesia usually not required"
62311, 64493, 64483 etc... I am now seeing rejections for reporting with one of the ASA injection codes 01991, 01992, 01935, 01936.

I am not sure where to even begin to look for information on this. Please help if you have any knowledge in this subject. I was contemplating on using the 23 modifier. But, I have never used it before and I am not sure how to apply.

Would I report as 62311-23? or 01992-QZ/AA-23-QS? (this was Prone position).


Please advise.
Thank you!

~Melissa, CPC~
 
I have found this is a MAC (QS) issue.
The provider is not giving me all pertinent diagnoses. I am requesting the pre-eval/H&P documentation for this provider to obtain qualifying diagnosis for the QS.
Thanks!
~Melissa
 
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