• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

cpt 61795 denials

R

rimiller

Guest
Messages
8
Has anyone started getting denials for this code with the sinus surgery codes?
 
No we have not, ours are being paid w/o incident, may I ask how you are billing it? just a gentle reminder that this is an add-on code, so no modifiers apply, also, we usually bill with a ch. sinusitis code; if you are already doing this, it's time for appeal.

Jennifer
CT ENT
 
No, I have not seen any denials for 61795. Make sure you are billing it with the primary CPT code (FESS codes) and use the appropriate diagnosis code. How are you billing it? I agree with Jennifer-if you are billing the code correctly and it is still being denied, you should definately appeal.
 
Our Doctor's just started adding on the 61795 with the FESS procedures,
can anyone tell me if this code is payable in an ASC setting and should we use a TC modifier on the procedure ???
Thanks in advance for any responses.
 
You must log in or register to reply here.
Top