Wiki 51/59 Nerve Block Modifiers - bundling issue

[certick]

Hello-

I work for a neurology office - having some difficulty with a bundling issue.
On an extreme case I could bill for one patient:

64450
64405
20553
64615
96372

How i was trained - typically I would use:
64450 - 50, 59
64405 - 59
20553
64615
96372 - 59

BCBS - pays for all minus 20553 - UHC pays for 64615/96372 and 64405 - but not 20553/64450
We have a lot of UHC patients so i'm wondering if anyone has any advice
I've tried leaving 64450/64405/20553 blank as i've seen suggested for someone else - they bundled - i've tried using 51 modifier, which then 20553/64450 was paid but not 64405

Appreciate any advice - thanks so much!

 

[santhiya96]

51 modifier?

Hammer toe repair performed on left 3rd, 4 th, 5th toe. Can we bill 28285x3 or bill with 51 and 59 modifiers.