Wiki 93613/93462

[wigzz9]

Help!!! I have the following codes billed together, 93799/93662/93287 which all were paid by medicare. I am having a problem with procedure codes 93613/93462 denying as add ons. From everything I read about these 2 codes I am not showing the primary pocedure being billed to support these add ons unless it falls under the unlisted code which was an av/afib ablation. Any thought would be helpful.
Thanks:

 

[jewlz0879]

I'm not sure I'm following your question 100% but I do not believe billing the unlisted code 93799 will allow 93613/93462 to be billed without the primary 'required' code.

93613 requires primary procedure: 93620 or 93653.

93462 requires primary procedure: 93452, 93453, 93458-93461, 93653 or 93654.

Therefore, you would have to make sure you billed for one of the required codes in order to get your add-ons covered by Medicare.

HTH