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We billed code 64486 59 RT twice for the same dos-different providers-medicare paid only one 64486 code. Should NJ Medicare pay both 64486 59 RT codes?
Hello there,
The medically unlikely edit for the injection is 1 and it has an MAI of 3, which means Medicare will only pay one injection but allows appeals when it denies additional units of service. You'll need to explain why the second injection was necessary.