md1m03
New
I am looking for some help in determining what the industry standard is for processing claims with multiple procedures and multiple add-on codes.
How are you seeing the insurance companies allowing benefits for secondary procedures with add-on codes? Are they reducing the secondary procedure and add-on procedure by 50% or only the secondary procedure and the add-on allowed at 100%?
Example:
61512 - primary procedure
+61781 - add-on to primary
14301 - secondary procedure
+14302 - add-on to secondary procedure
15120 - secondary procedure
+15121 - add-on to secondary procedure
Any assistance you can provide will be greatly appreciated.
Donna Forsell
How are you seeing the insurance companies allowing benefits for secondary procedures with add-on codes? Are they reducing the secondary procedure and add-on procedure by 50% or only the secondary procedure and the add-on allowed at 100%?
Example:
61512 - primary procedure
+61781 - add-on to primary
14301 - secondary procedure
+14302 - add-on to secondary procedure
15120 - secondary procedure
+15121 - add-on to secondary procedure
Any assistance you can provide will be greatly appreciated.
Donna Forsell