Wiki Denial 33216

[kvogel03]

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

 

[trarut]

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

 

[kvogel03]

Ok, thanks for you help. I will give it a try.