ollielooya
True Blue
Help, please, 64405 (bilateral occipital injection) and 64450 (other peripheral nerve or branch). Both of these procedures were done on the same day of service for a migraine sufferer. Aetna denies 64450 as inclusive to 64405. Chart notes do not warrant the use of modifier 59. Is this their particular "oddity" as it is for UHC to always deny the 64405? EM service was involved too, but that's not my question. It was billed out as:
99213-25,
64450-50-51 (placement of the modifier 51 here might have triggered a rejection perhaps due to a billing error?
64450-51,
64405-51
64405-50,51,
64400-51,
64400-50,51.
I'm thinking a corrected claim and future appeal may be in our future. All lines paid except the 64450.
---Suzanne
99213-25,
64450-50-51 (placement of the modifier 51 here might have triggered a rejection perhaps due to a billing error?
64450-51,
64405-51
64405-50,51,
64400-51,
64400-50,51.
I'm thinking a corrected claim and future appeal may be in our future. All lines paid except the 64450.
---Suzanne