kjonesaapc
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I am billing for a CRNA who is providing propofol sedation for endoscopy patients in an ASC and I need coding help for Medicare.
I billed first with the 00740 or 00810 and the QZ and the P (physical status modifier). Medicare denied for "wrong or missing modifier."
I billed again with the same CPT and QZ, QS and the P modifiers and Medicare denied with the same remark.
I billed again with the same CPT and just QZ and QS modifiers and Medicare denied with the same remark.
I billed again with the same CPT and just QZ and Medicare againg denied saying "wrong or missing modifier."
I have run out of combinations of modifiers and have still had no success with getting these claims processed by Medicare. The commercial payers were all ok with the first modifiers I sent but I just can't seem to get the Medicare coding requirements correct. I am in CA and have called Palmetto but can not get through to a person there for guidance.
I would be very appreciative of any insight that anyone might have that would enable me to bill these services according to Medicare/Palmetto guidelines. Thank you.
I billed first with the 00740 or 00810 and the QZ and the P (physical status modifier). Medicare denied for "wrong or missing modifier."
I billed again with the same CPT and QZ, QS and the P modifiers and Medicare denied with the same remark.
I billed again with the same CPT and just QZ and QS modifiers and Medicare denied with the same remark.
I billed again with the same CPT and just QZ and Medicare againg denied saying "wrong or missing modifier."
I have run out of combinations of modifiers and have still had no success with getting these claims processed by Medicare. The commercial payers were all ok with the first modifiers I sent but I just can't seem to get the Medicare coding requirements correct. I am in CA and have called Palmetto but can not get through to a person there for guidance.
I would be very appreciative of any insight that anyone might have that would enable me to bill these services according to Medicare/Palmetto guidelines. Thank you.