removal of cyst

delisle44

New
Messages
2
Location
Riverview, FL
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0
I have a denial that I am trying to fix.
Dr Billed out 11404 at 2 units. 12032 at 2 units and 99354. now after reading the progress notes I see immediately that the the 11404 should be a 11403 and it should be listed twice not at 2 units. ( he removed 2 cysts from the back) and for repair he has 12032 listed at 2 units, and then the add on code, so I am slightly confused on how this needs to be correctly billed.. I know or at least have learned that it does not go out with units, but as for modifiers, what would be the best?
 

pwright3603

Networker
Messages
42
Location
Metamora, MI
Best answers
0
I have a denial that I am trying to fix.
Dr Billed out 11404 at 2 units. 12032 at 2 units and 99354. now after reading the progress notes I see immediately that the the 11404 should be a 11403 and it should be listed twice not at 2 units. ( he removed 2 cysts from the back) and for repair he has 12032 listed at 2 units, and then the add on code, so I am slightly confused on how this needs to be correctly billed.. I know or at least have learned that it does not go out with units, but as for modifiers, what would be the best?

your repair codes (length ) in the same anatomical must be added together. not sure why you are billing 99354.
 
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