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Wiki 29580 unna boot

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adaniel

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We are trying to bill MCR for a unna boot that was done on a patient for both the right and left legs. We are billing.....
99213-25
29580
29580

All is being pd except 1-29580 stating "Pmt adj-info does not support amt of services." We have also received denial stating "CPT inconsist w/modifier or mod is missing." We have the documentation to support 99213.

I have tried billing 29580 with a 50 modifier, w/out a modifier, and with RT/LT & I can't get MCR to pay either way.....what am I doing wrong?
 
You should bill with a modifier 76. This is what medicare is requesting on all codes that are used twice.
 
ok thanks.... I will try that. I am new to primary care & get so confused on when to use mod 50, RT/LT, etc.....any suggestions?
 
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