kguzikowski
Networker
1. Provider performed, 63040-Posterior bilateral repeat level C5-C6, foramiontomies CPT code 63040 with modifier 50
2. Posterior repeat bilateral level C6-7, level C7-T1 and level T1-T2 formaminotmies CPT code 63043 x 3 units with modifier.
Question being debated appropriate way to bill this scenario.
63040-50
63043-50, 59
63043-50, 59
63043-50, 59
OR
63040-50
63043x 3 units
63043-x3 units with modifier 59
Patient has Medicare, Will the MUE of only 4 units per day play into the scenario?
Appreciate feedback.
2. Posterior repeat bilateral level C6-7, level C7-T1 and level T1-T2 formaminotmies CPT code 63043 x 3 units with modifier.
Question being debated appropriate way to bill this scenario.
63040-50
63043-50, 59
63043-50, 59
63043-50, 59
OR
63040-50
63043x 3 units
63043-x3 units with modifier 59
Patient has Medicare, Will the MUE of only 4 units per day play into the scenario?
Appreciate feedback.