• 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..

Wiki 64622 medicare denial

Create Wiki
L

larkatin

Guest
Messages
43
Best answers
0
We billed Highmark Medicare for 64622 RT, 64623 x 3 RT for a 2/18/09 date of service. Pt returned and had 64622 LT, 64623 x 3 LT for 2/27/09. Medicare paid the 1st DOS and denied the 2nd as "payment included in the allowance for another service". I appealed, included copies of dictation for all dates of service, noting the Right & Left in particular. I received a 2nd denial as within the global period. What am I missing? Does the global period for the right side include any services done to the left side? Thanks ahead for any direction!
 
64622 denial response

I did not see any mention of modifier "78" to indicate to the Third Party Payer that the patient returned to the operating room for a related procedure during the "postoperative period".


Chronicles Billing Inc.
 
You must log in or register to reply here.
Top