• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

20610, 27096 and 77002 Getting a denial

Y

Yjrieken

Contributor
Messages
23
Location
Dalton, NE
My provider has performed the 20610, 27096 and 77002 and receiving a denial. Below is how I billed these. Does anyone have any advice on how to get these paid? Any help is very appreciated!
20610-lt
27096-50
77002-59
 
was the 20610 separate site/joint. 20610/77002 as components of 27096.
If separate joint for 20610 change mod LT to 59 ox X sub mod depending on payer.
77002 if done for the purpose of only 20610 then same 59 or X sub.
If 70022 was done for both cpt's then don't bill it.
 
Thank you for your help with this! I truly appreciate it. I would like to ask one more question. When doing an arthrogram on a shoulder 23350-RT, we charge for the fluoroscopy 77002. However, we did receive a denial. Should we contact the insurance to question further? It is my understanding from looking at the crosswalk that this is okay. Even though our Trucode encoder does flag it. Maybe it is a modifier issue?
 
Nickclaw - Thank you for your help, but I actually found that the flag was caused by an incorrect code that was charged. for the above procedures that I asked about. Everything is good now with the following.
23350-RT
77002-59
73219-RT
 
You must log in or register to reply here.
Top