Need help with proper coding for 93010

Vannoyj

Networker
Local Chapter Officer
Messages
25
Location
Farmers Branch, Texas
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0
Hello, The physician billed out 93010 and Medicare denies the claim as the hospital has already billed out the same code 93010 for the patient. What am I missing here is there a modifier required? We are in Texas.
 

mhstrauss

True Blue
Messages
1,240
Location
Baton Rouge
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0
Are you using 26? for the professional component. The hospital usually bills with a TC modifier. Hope that helps.

93010 does not have a TC/26 breakdown.

If your physician did the interp and report, the hospital should not have billed 93010 also.
Is there anyone at the hospital you can contact to discuss?
 

SDAlward

Guest
Messages
49
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We have the same issue going on with our office. I agree with above reply, contact the hospital and speak with their billing manager.
 
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