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60540 verses 50240

egriffey1202

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I am new to coding and hoping someone can help me with a question. I audit procedures for the time being and saw a charge for a patient and questioning if billed appropriately, again I am new. We charged the following:

60540 - Explore Adrenal Gland
50240 - 51
36620 - A Line
62318 - Inject Spine

Would 50240, hold more RVU based units and can we bill this as primary?

I really do appreciate all of your help and kindness to help me understand this.
 
Last edited:

CodingKing

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50240 has the highest RVU so it shouldn't have a modifier 51

60540 is a column 2 code to 50240 so it wont pay

62318 is a column 2 code to 50240 so it wont pay

36620 is ok
 

egriffey1202

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Codingking

Thank you so much for taking the time to clear this up for me. I questioned this yesterday and was told the 60540 has more RVU by coding.

Thanks so much for your help!
 
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