I have billed Medicare (Novitas) for CPT 64447 WITH 76942 (Ultra Sound Guidance) and CPT 64448 WITH 76942 for POST OP pain after a Total Knee Replacement.
Modifier 26 is added to CPT 76942 for both line items. Each procedure is reported as a separate line item.
98% of the time, both 76942 codes are denied and then submitted for reconsideration with the result being that only 1 pays and the other denies as a duplicate.
I have 2 images for the 2 sites, however, the provider does his dictation for both procedures on the same procedure note.
I am looking for advice on how to get the 76942 codes to pay for both without having to appeal.
Question: What is the correct way to bill TWO CPT codes 76942 (Ultra Sound Guidance) with 64447 (Adductor canal single shot injection for a pain block) and
64448 (Adductor canal continuous catheter pain block) when performed on a single patient?
Question: Do additional modifiers need to be submitted along with the modifier 26?