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Billing 32555 inpatient setting

W

wilsontheresa@optonline.net

Contributor
Messages
14
Location
Hackettstown, NJ
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!​
 
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.
 
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