• 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..

Wiki Denial 33216

Create Wiki
K

kvogel03

Guru
Messages
153
Location
Sandusky , MI
Best answers
0
Hello everyone,

I have billed 33235 78 and 33216 78, 59. This was done due to the one of the cardiac electrode being displaced. 33216 is being denied inclusive. Any suggestion on how to get this paid?

Thanks,

Kayla
 
Are you certain the payer is picking up the 59 modifier? Some payer systems stop processing when they hit the first denial so if the 78 is triggering a denial, they may not be "seeing" the 59. Also, I have always reported the 59 modifier first to tell the payer "hey, this is separate" while the next one tells them why, if needed. ETA: Does the payer accept the X{EPSU} modifiers? Maybe one of those would better tell the story of the claim. Just a thought :)
 
You must log in or register to reply here.
Top