Wiki Denial on 33286

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kvogel03

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Hello,

I have billed 33286 and 33285 59. Medicare plus blue is denying the 33286. Does 33826 need a modifier ? Any suggestions would be greatly appreciated?

Thanks,

Kayla
 
kvogel03 said:
Hello,

I have billed 33286 and 33285 59. Medicare plus blue is denying the 33286. Does 33826 need a modifier ? Any suggestions would be greatly appreciated?

Thanks,

Kayla
Click to expand...

Hello Kayla,

You should code CPT 33286 with modifier 59 as there is a CCI conflict and 33286 is the column 2 code.

Hope this helps~

M.Hannnus, CPC, CPMA, CRC
 
kvogel03 said:
Ok thanks.

Do I still need the 59 on 33285 ?

Thanks,

Kayla
Click to expand...

No since it is the primary procedure you would want to receive full payment on CPT 33285 and a reduced multiple payment on CPT 33286-59. So CPT 33285 & CPT 33286 modifier 59 should be billed for proper payment/following CCI edits. :)
 
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