ollielooya
True Blue
CLAIM submitted to MCR: This is a claim from 2nd quarter of 2011 before the 173.3 was updated to include 5th digits.
11642 (173.3)
17000-59 (702.0)
17003-59 (702.0.)
Patient also has AARP. MCR paid the 1700X codes but did not pay the 11642 utilizing remark codes CO-B15 and MA18. AARP paid the 17000 codes as well, but didn't touch the 11642.
Since these codes show as being mutually exclusive should I also have attached modifier 59 to the 11642? Is this a case where every single procedure code should be appended with modifier 59 if warranted by the chart notes?
---Suzanne E. Byrum CPC
11642 (173.3)
17000-59 (702.0)
17003-59 (702.0.)
Patient also has AARP. MCR paid the 1700X codes but did not pay the 11642 utilizing remark codes CO-B15 and MA18. AARP paid the 17000 codes as well, but didn't touch the 11642.
Since these codes show as being mutually exclusive should I also have attached modifier 59 to the 11642? Is this a case where every single procedure code should be appended with modifier 59 if warranted by the chart notes?
---Suzanne E. Byrum CPC