Hoping someone will be able to help me out with this. I am coding and billing for the ASC facility side. And have a question as to reporting the post op pain block. For example:
Anesthesia documents post-op pain management at surgeons request. Block performed is right side brachial plexus. I am reporting with G89.18 with 64415-XP-RT.
I am receiving denials back from Medicare CMS for C0236 This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the National Correct Coding Initiative or workers compensation state regulations/ fee schedule requirements.
Would I be better off filing 64415-59-RT along with CPT 29827-RT? I thought using the XP modifier would show a different provider (anesthesia) than the surgeon.
Thank you for your time!
Anesthesia documents post-op pain management at surgeons request. Block performed is right side brachial plexus. I am reporting with G89.18 with 64415-XP-RT.
I am receiving denials back from Medicare CMS for C0236 This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the National Correct Coding Initiative or workers compensation state regulations/ fee schedule requirements.
Would I be better off filing 64415-59-RT along with CPT 29827-RT? I thought using the XP modifier would show a different provider (anesthesia) than the surgeon.
Thank you for your time!