heart123
Guest
why am i getting a denial for 33361,62 any ideas
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Wiki Tavr
- Thread starter heart123
- Start date
devinmajor14
Guru
Try 33361-62-QO
heart123
Guest
thanks do i need a clinical trial #???
Last edited:
coop22
Networker
Do you know what ins company is denying them? I have been billing TAVR's for about a year now. And we are now just getting denials from Aetna
cgbar
Networker
You will need the Clinical Trial # on the claim. Also, the Dx codes matter..... I35.0 for the Primary (from my experience), and you need to use Z00.6 for the Secondary
heart123
Guest
y'all are awesome
sbarkhimer
New
Medicare TAVR denials
we are now all of a sudden receiving denials from medicare for 33366 billed with 62 and Q0 with the clinical trial # listed 01737528. I am at a loss. Missing/incomplete/invalid diagnosis or condition for I35.2 and Z00.6. any ideas?
we are now all of a sudden receiving denials from medicare for 33366 billed with 62 and Q0 with the clinical trial # listed 01737528. I am at a loss. Missing/incomplete/invalid diagnosis or condition for I35.2 and Z00.6. any ideas?
devinmajor14
Guru
Primary dx should be i35.0
sharris8888
New
Rounding visits after TAVR
Should rounding visits and EKG's after the TAVR surgery be billed with the clinical trial info too?
Should rounding visits and EKG's after the TAVR surgery be billed with the clinical trial info too?
sharris8888
New
Should rounding visits and office visits have the Q0 modifier and Z00.6 dx also when related to the TAVR?
heart123
Guest
no just the procedure
01289355
Networker
The claim should be submitted with following information for getting payment.
Primary ICD I35.x
Secondary ICD Z00.6
POS - 21
Clinical Trail #Ref (https://www.cms.gov/Medicare/Coverage/Coverage-with-Evidence-Development/TAVR.html) You can verify the document and choose appropriate CT#
Modifier 62, Q0
https://www.cms.gov/Outreach-and-Ed...k-MLN/MLNMattersArticles/downloads/MM7897.pdf
Hope this would help you
Primary ICD I35.x
Secondary ICD Z00.6
POS - 21
Clinical Trail #Ref (https://www.cms.gov/Medicare/Coverage/Coverage-with-Evidence-Development/TAVR.html) You can verify the document and choose appropriate CT#
Modifier 62, Q0
https://www.cms.gov/Outreach-and-Ed...k-MLN/MLNMattersArticles/downloads/MM7897.pdf
Hope this would help you
Last edited:
heart123
Guest
Should rounding visits and office visits have the Q0 modifier and Z00.6 dx also when related to the TAVR?
no just the procedure