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Billing multiple units to Medicare

Messages
2
Best answers
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I have a patient with 13 lipomas. I billed 25075 on the first line and 25075 -59 with 12 units on the second line. First line was paid and second line was denied. Does anyone know how I should bill this? Thank you so much.
 

mitchellde

True Blue
Messages
13,291
Location
Columbia, MO
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0
I have a patient with 13 lipomas. I billed 25075 on the first line and 25075 -59 with 12 units on the second line. First line was paid and second line was denied. Does anyone know how I should bill this? Thank you so much.
Surgical procedure do not come as a quantity driven service so the units should never exceed 1. you will need to bill 13 line items using the 59 on the second and subsequent.
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Messages
4,466
Location
Milwaukee WI
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0
May still be denied

This may still be denied - because it is highly unusual. Be sure to submit your operative notes which clearly outline the many separate incisions and multiple procedures performed.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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