LindseyModica
New
Good Morning! I have a patient who had a dual Pacemaker implant on 9/3/2019.
On 11/5/2019 patient had PVI ablation that I am having a hard time getting paid with Medicare. Here's what was billed.
9/3/2019 33208, KX Dx: I49.5 I48.1
11/5/2019 93656,78 93655,78 93613 93623,26,XU 93662,26,XU
DX: I48.19 and I48.3 for 93655
Medicare is saying the procedure is inconsistent with modifer, claim is unprocessable. What am I doing wrong? I've never had a problem with these until recently and (of course) Medicare will not tell me anything useful. Thank you so much for any input!
On 11/5/2019 patient had PVI ablation that I am having a hard time getting paid with Medicare. Here's what was billed.
9/3/2019 33208, KX Dx: I49.5 I48.1
11/5/2019 93656,78 93655,78 93613 93623,26,XU 93662,26,XU
DX: I48.19 and I48.3 for 93655
Medicare is saying the procedure is inconsistent with modifer, claim is unprocessable. What am I doing wrong? I've never had a problem with these until recently and (of course) Medicare will not tell me anything useful. Thank you so much for any input!