Wiki Need Help with Podiatry Surgery Billing

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Young08

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Hello Everyone,

I am a recent graduate and new to the coding world. I was hired at a Podiatry clinic, my extern site after completing the program. I have self-taught myself and am continuing to learn everything I can in regards to podiatry billing and coding.

I am having difficulty getting Georgia Medicaid to pay for surgery procedures.
I have billed these claims multiple ways and still not getting anywhere:

28292-RT
28285-59-T9
28310-59-RT
28124-59-T5

and

28292-RT-51
28310-RT-51
28308-RT-51
28124-T5-51

Can anyone please explain to me what I am doing wrong and how to go about billing these claims correctly. Any insight, advice or guidance would be GREATLY appreciated.

Thank You,
Shanikko Young-CPCA
 
28292-rt
28285-t9
28310-59-51-t5
28124-59-51-t5

Even without looking at your op note I can tell you that I don't think all those codes are billable. I would think they would only pay
28292-rt
28285-t9
The others would be bundled with the main code(28292)
 
Forgot to say to check with your medicaid about their modifier rules. Ours just stated last year that you must put the -51 modifier in the first place or they won't pay.
 
Thank You

Thank you so much syllingk,
I called and spoke to someone from medicaid and all they did was give me information on where to find a list of modifiers that were valid to use with the surgery codes, I will check again.

Thanks again.
 
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