StephCodes2
Contributor
Hi all, I code for pain management. Our billers are coming to us with an edit issue. With the new CPT changes that rolled out, we can no longer report a -50 modifier on several of the add on codes we use. We've been instructed to instead report 2 units, 1 unit with RT and 1 unit with LT. This hits an MUE.
Example:
64493-50
+64491-RT
+64491-LT
Billing is asking us to try adding a -59 to the 2nd 64491 that we are reporting in hopes to circumvent the edit. Has anyone tried that? I don't see how that would work. Are you appealing all of these? Or appealing the MUE edit specifically? I'm just not even sure how to help.
Example:
64493-50
+64491-RT
+64491-LT
Billing is asking us to try adding a -59 to the 2nd 64491 that we are reporting in hopes to circumvent the edit. Has anyone tried that? I don't see how that would work. Are you appealing all of these? Or appealing the MUE edit specifically? I'm just not even sure how to help.