jaykaykee@yahoo.com
Guest
Is 96372 payable when billed with 20605. Both CPT's were billed with modifier 59. I was paid for 20605 and 96372 was bundled.
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Wiki 20605 billed with 96372
- Thread starter jaykaykee@yahoo.com
- Start date
mitchellde
True Blue
can you elaborate on the claim a bit? what medications were used for each and what diagnosis were linked to each.
jaykaykee@yahoo.com
Guest
J code was not billed. The diagnosis billed is M25.475 on CPT's 20605/96372. The other procedure codes billed don the claim are 99203-M79.6272 and 73630-M89.9
mitchellde
True Blue
ok so why are you billing both 20605 and 96372? and why are you not including the J codes. Were two separate medications injected?
If you are billing both of these codes for one injection then there is the problem. the 20605 is the admin code for intraarticular and the 96372 id for IM or SQ injections. More information is still needed to assist you
If you are billing both of these codes for one injection then there is the problem. the 20605 is the admin code for intraarticular and the 96372 id for IM or SQ injections. More information is still needed to assist you