Wiki Billing 32555 inpatient setting

[wilsontheresa@optonline.net]

Hi All,

We are billing 99223-25 along with 32555 for our pulmonologist, however, Medicare is denying 32555 for "

Procedure/service was partially or fully furnished by another provider." Should a modifier be appended? What does this denial typically mean? Thank you!​

 

[OpenClaims]

Hello,
This denial means Medicare has already paid this procedure and service to another provider. Was this patient being treat by a previous provider before coming to your office? Or is this patient receiving treatment by at PCP then was referred to a specialist for the same thing? I would resubmit this claim and code and make sure you are sending the appropriate notes proving this procedure was also provided to this patient with your pulmonologist.