Wiki 20610, 27096 and 77002 Getting a denial

[Yjrieken]

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

 

[nickelclaw]

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.

 

[Yjrieken]

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?

 

[Yjrieken]

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