Interstim - verifying the codes

LindseyR

Networker
Messages
25
Location
Richmond, Virginia
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Please help. I am new to interstim billing and need help verifying the codes i have found

for the interstim trial done in our office to see how the patient responds i have come up with the codes:
64561
64561-mod 59
a4290 x2

now for the permanent electrodes my doc does stage 1 and 2 together in the hospital on an outpatient basis so i came up with
64581 do i need modifiers for each side?
64590
95972
l8680 x2 ----not sure if i charge this or not

any help is appreciated, the company that introduced this to my doc gave me a billing sheet, but they have given me 3 different responses on how to bill each stage so i dont trust them at all.

Thanks in advance!!!
 

KCROSS

Networker
Messages
38
Location
Kansas City, MO
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The modifiers you need to use for 64561 and 64581 when both sides are done is either 59 on the second, or RT and LT. 50 is not a valid modifier. I've been using RT and LT for Medicare and they seem to be paying

Karen
 
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