I have a patient that had a guillotine amputation done 6 days ago. and then a bka (3 days) after that.
in the past i had billed the first surgery with 27882. and then the actual bka with 27880,58. the second surgery 27880 is denying because the insurance is saying the patient had a previous amputation. "certain services cannot be reasonably performed on the same leg since the requires anatomical structures for the procedure are no longer present." I already tried an inquiry, this is my response from the inquiry.
any suggestions ? perhaps one of the "x" modifiers, but I am not certain which one.
in the past i had billed the first surgery with 27882. and then the actual bka with 27880,58. the second surgery 27880 is denying because the insurance is saying the patient had a previous amputation. "certain services cannot be reasonably performed on the same leg since the requires anatomical structures for the procedure are no longer present." I already tried an inquiry, this is my response from the inquiry.
any suggestions ? perhaps one of the "x" modifiers, but I am not certain which one.