• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier 76 and CPT code 64450

NESmith

Guest
Messages
309
Location
Zephyrhills, FL
Best answers
0
Is it appropriate to use modifier 76 on CPT code 64450? My provider is doing a diagnostic bilateral L5, S1, S2, & S3 dorsal primary ramus injection under fluoroscooic visualization. Claim was billed 64450-507659
64450-507659
64450-507659
Medicare is denying the second and third line as duplicates. Please help.
As always Thanks
 
these are not repeated services and you would not use the 76 they are however separate sites which is the 59, which you would use on the second procedure and not the first. A repeated procedure must be the exact same procedure (same site same med same procedure) repeated in a separate session, not the same procedure repeated at different sites or different levels. But a procedure note would help determine if the code is correct in addition to the modifier.
 
Top