Wiki Nevada Medicaid multiple procedures

mmills75

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I am currently having an issue with NV state Medicaid. Per their coding guidelines they do not allow the modifier 59. I have had a couple of cases with them billing an anesthesia code 00846, injection code 62319, and two cath. codes of 36556 and 36620. They have instructed me to bill modifier 51, which I have done. In doing so, they are paying cath. codes and bundling my injection code of 62319? I have contacted provider training and I have been unable to resolve this issue. Any advice?
:confused:
Thank you
 
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