Wiki Medicare issue

[kfc]

Is Medicare dening procedure 90772; stating it is not paid searately, for anybody else? If we bill it with an office visit we add the modifier 25 and if two injections are given we add 59 on one of them but Medicare has been kicking them out. Is there a new edit I am not aware of?

 

[Teresa Toscano]

Appeal It

our Office Was Also Having The Same Type Of Problem You Have Run Into. Because Of Our Specialty, Oncology/hematology, There Are Instances Where We Give More Than One Injection On The Same Day, But Different Sight Of Course. Our Second 90772 Billed At Times Will Be Paid, But At Other Times We Have To Appeal With Documentation. We Have Had Luck With Getting Our 2nd 90772 Paid This Way. Oh Yeah, And Don't Forget To Attach The Medicare Appeal Form. Hope This Helps

Good Luck!

 

[kfc]

Thank you! I will appeal. It seems like Medicare causes more work than it's worth sometimes.

 

[nascarfourever]

Don't forget to check for the new code. 90772 is no longer valid for 2009.

 

[ANGELAMM2004]

90772/96372

make sure you are billing a quantity of two on the same line, we also add a
"59" modifier to the now 96372.