dfc081167
Guest
If you have 93308 and 37050 with 93224 billed on the same DOS and are unpaid for bundled (37050), what modifiers do you need for 93308 and/or 37050 besides XE?
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Wiki modifiers needed?
- Thread starter dfc081167
- Start date
antoniamay
Networker
I don't show 37050 is a CPT code
dfc081167
Guest
It should be J7050. Sorry about that.
antoniamay
Networker
Why did the patient receive Saline? And what is the Place of service?
antoniamay
Networker
If the patient received it as a means for Hydration it may be payable, but I have not usually seen a patient receiving Saline with an echo, are you sure that is the correct code you want or were you wanting to bill contrast?
dfc081167
Guest
It was for a bubble echo, The saline injection is used in this procedure. It was denied by Medicare for bundling. The coder put a modifier on it of XE, which I think is why it was denied. I believe it can be billed, but without a modifier. I actually found the same chart earlier. Thank you for your answer.
antoniamay
Networker
Ahh, I see then you will not be able to bill the J7050. According to the CMS Manual System, the fluid used to administer the drug(s) is incidental hydration and is not separately payable. Therefore, you cannot bill for the saline used in a bubble echo. However, you can bill for the echocardiogram procedure itself, using the appropriate CPT codes.
antoniamay
Networker
It won't matter what modifier you append they will deny it always with those codes because its just part of the procedure.