Wiki Denial on 33286

[kvogel03]

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

 

[meghanhannus]

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

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]

Ok thanks.

Do I still need the 59 on 33285 ?

Thanks,

Kayla

 

[meghanhannus]

Ok thanks.

Do I still need the 59 on 33285 ?

Thanks,

Kayla

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.

 

[kvogel03]

Ok thanks for your help.

 

[meghanhannus]

Ok thanks for your help.

You''re welcome