• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Pulmonary Test Coding - Repeatedly, in 2012

Create Wiki
F

fredcpc

Guru
Messages
185
Location
Hillsboro, OR
Best answers
0
Repeatedly, in 2012, Medicare has been denying several of the Respiratory test CPT codes. They usually dont like my modifier choice, but I have tried just about every combination. So, can someone help with this?

According to Medicare guidelines for 2012, how do you code (w/modifiers), CPT 94060 and 94726?:(
 
Do you want to know about billing with the -TC and -26 Mods or an unbundling mod like -59?? These codes do not bundle so a -59 is not needed. As far as -TC and -26 it all depends on what the doctor is doing. Is he performing the test then sending out to another doctor like a cardiologist for the read or to give the results to the patient? In that case you would use the -TC and if the opposite is happening then I would use the -26. If the doctor is doing both then I would not attach any modifiers.
 
You must log in or register to reply here.
Top