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C

Callieb

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43
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Crestwood, KY
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I am so frustrated! Patient had 3 lipomas right buttocks. I coded 21931, 21930 - 59, 21930 - 59. Medicare is denying second 21930 as exact duplicate. Am I supposed to use units? or modifier 51? It seems I accidently coded units before on another patient and medicare didn't cover that. Welcome to Monday.
 
I had forgotten about the new modifiers. Think this might be the right instance to use it (unless anyone else has a better idea). Thanks
 
Still not convinced on the XS modifier. It states seperate structure, or different anatomic site. All 3 lipomas were on the same cheek but seperate incisions. I guess since modifier 59 is what we used to use and they are not accepting it then I will try XS.
 
Our Medicare provider wants us to use units. Also be sure to check the MUE list.
 
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