Denial for billing 77427 with 77770

sallen7113

Contributor
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11
Location
Brunswick, Georgia
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57126
77295-26
77770-26
77427

Each was billed at POS 22, each as one unit of service, each were billed with the same from and thru date (02/01/2019) and Medicare paid everything but the 77427. I have narrowed down that the conflict is between 77770 and 77427. Medicare denies stating an incomplete or missing modifier but -59 is not acceptable for 77427. I have read that -26 is not allowed for 77427. What do I need to do to get this claim paid? Can it be paid? HELP
 

hodgeskm

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16
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Look at the NCCI Policy Manual - Chapter 9, #4 under Radiation Oncology. NCCI states - "Brachytherapy (CPT codes 77750-77790) includes radiation treatment management (CPT codes 77427 and 77431) and continuing medical physics consultation (CPT code 77336)."
 
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