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Wiki Neurostimulator analysis

crhunt78

Guru
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156
Location
Olathe, KS
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I am looking at charges for an implanted neurostimulator analysis and the physician billed codes: 95978 (for the first hour), 95979 (each addt'l 30 min.), and 95979 (for an addt'l 30 min.) all on the same DOS.

The claim had each code on it's own line item and one of the 95979's was denied as inclusive to the first 95979 that was billed.

My question is, is it only possible to bill for 30 minutes of extra time spent even though there was an extra hour spent in analysis or should we have billed the 95979 with 2 units? Medicare is the insurance carrier if that matters at all.

If anyone can help, I would really appreciate it! Thanks so much!
 
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