oranski
New
Hope someone can help me understand this---
In the following Blood Bank Product P codes listed below, the description includes irradiation (CPT 86945 ).
Previous Red Cross Seminars instructed that we could not bill separately for irradiation if the term-irradiation
was defined in the name of the product. Then when checking the CMS website for CCI edits we discovered
the products listed with irradiation in the naming convention being billable with a separate irradiation charge-86945, as long as
a modifier is attached.
CMS CCI edits
Column 1 Column 2 Effe Date Modifier PTP Edit Rationale MODIFIER
P9037 86945 20111001 1 Misuse of column two code with column one code -59
P9038 86945 20111001 1 Misuse of column two code with column one code -59
P9040 86945 20111001 1 Misuse of column two code with column one code -59
P9056 86945 20111001 1 Misuse of column two code with column one code -59
P9057 86945 20111001 1 Misuse of column two code with column one code -59
P9032 86945 20111001 1 Misuse of column two code with column one code -59
P9033 86945 20111001 1 Misuse of column two code with column one code -59
P9036 86945 20111001 1 Misuse of column two code with column one code -59
Thanks for your help- Jackie
In the following Blood Bank Product P codes listed below, the description includes irradiation (CPT 86945 ).
Previous Red Cross Seminars instructed that we could not bill separately for irradiation if the term-irradiation
was defined in the name of the product. Then when checking the CMS website for CCI edits we discovered
the products listed with irradiation in the naming convention being billable with a separate irradiation charge-86945, as long as
a modifier is attached.
CMS CCI edits
Column 1 Column 2 Effe Date Modifier PTP Edit Rationale MODIFIER
P9037 86945 20111001 1 Misuse of column two code with column one code -59
P9038 86945 20111001 1 Misuse of column two code with column one code -59
P9040 86945 20111001 1 Misuse of column two code with column one code -59
P9056 86945 20111001 1 Misuse of column two code with column one code -59
P9057 86945 20111001 1 Misuse of column two code with column one code -59
P9032 86945 20111001 1 Misuse of column two code with column one code -59
P9033 86945 20111001 1 Misuse of column two code with column one code -59
P9036 86945 20111001 1 Misuse of column two code with column one code -59
Thanks for your help- Jackie