Doctor saw a patient in the hospital in the same month as the "once a month" code 90960 was billed.
Medicare rejected the two service dates for 99233 for reason B-15 - not paid seerately and Remark M80 - Same date of service.
It would seem they bundeled the once-a-month code 90960 with the two 99233 services, which had NOTHING to do with his ESRD condition.
No ESRD diagnosis codes are used in the hospital followup (99233) visits.
I'm thinking that the AY Modifier should have been used to bill this, so that the claim would have paid. Am I correct on this?
Medicare rejected the two service dates for 99233 for reason B-15 - not paid seerately and Remark M80 - Same date of service.
It would seem they bundeled the once-a-month code 90960 with the two 99233 services, which had NOTHING to do with his ESRD condition.
No ESRD diagnosis codes are used in the hospital followup (99233) visits.
I'm thinking that the AY Modifier should have been used to bill this, so that the claim would have paid. Am I correct on this?