Good Afternoon coding world,
I know that add on's for debridements 11045-11047 should be in units. The issue I have is with my company. they want to bill using a modifier 76. which I totally disagree because we are not repeating the same procedure subsequently. before april there was a MUE for the add on's for just 1 unit. our add on claims submitted before was denied as duplicated claims. My company would like to just use 76 for the add on's. They rationale comes from a MCR rep and the payment for 76. I disagree with this totally. Do anyone have clarification on this. Are there any crosswalks on modifiers that can be used with a procedure?
I know that add on's for debridements 11045-11047 should be in units. The issue I have is with my company. they want to bill using a modifier 76. which I totally disagree because we are not repeating the same procedure subsequently. before april there was a MUE for the add on's for just 1 unit. our add on claims submitted before was denied as duplicated claims. My company would like to just use 76 for the add on's. They rationale comes from a MCR rep and the payment for 76. I disagree with this totally. Do anyone have clarification on this. Are there any crosswalks on modifiers that can be used with a procedure?