Wiki Flow cytometry denials

[Tonyj]

I'm billing for a physician owned lab 88184+85 and/or 88187 thru 88189. I'm getting denials for dup claims because the hospital is billing the same for the same patient. The only difference lies in the site. I may bill for peripheral stem cells and the hospital will bill for bone marrow stem cells or vice versa. Is there a modifier I can use to differentiate the sites?

 

[psacco]

might want to look into either the 59, for distinct procedural services, or maybe the 77 for repreat procedure or service by another physician...not sure which you would use...we bill for the same 88187-88189, ...when we have an issue arise we use the 59