Hello,
We received a pre-determination and a pre-authorization from Highmark BCBS for a combo single level artificial disc replacement, plus a single level ACDF to be performed in the same operative session. I coded this procedure as 22856-59, 22551, 22845, 22851, 38220-59, 20930 & 20936. I have been paid for the ADR (22856) and the R ICMBA(38220-59), but the codes 22551, 22845 & 22851 are bundling despite the modifier -59. What, if any are my other options for reporting this procedure correctly b/c BCBS is denying at this time? I appreciate any feedback.
We received a pre-determination and a pre-authorization from Highmark BCBS for a combo single level artificial disc replacement, plus a single level ACDF to be performed in the same operative session. I coded this procedure as 22856-59, 22551, 22845, 22851, 38220-59, 20930 & 20936. I have been paid for the ADR (22856) and the R ICMBA(38220-59), but the codes 22551, 22845 & 22851 are bundling despite the modifier -59. What, if any are my other options for reporting this procedure correctly b/c BCBS is denying at this time? I appreciate any feedback.