Question 93228 and 93229

kgrigg

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Clinton Twp, MI
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We own the monitors, but billing Medicare for both 93228 and 93229 together, the 93229 is rejecting for being inclusive. What am I doing wrong? Thank you
 

thomas7331

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93229 is the professional component and is not inclusive to 93228, which is the technical component - if 93229 is being denied as inclusive to 93228, then I believe that is a payer error. However, if you are billing any other professional services on that same date, then you would need to look at whether or not the professional component is inclusive to those services and whether or not a modifier is appropriate.
 

psc123

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Waterford, MI
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So if I bill with an office visit what would be the correct modifiers for 93229 and 93228? Shouldn't the diagnosis be the same as the office visit?
 
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