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Wiki using 338.18 with 62311-59

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londie64

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Can anyone tell me if it's proper coding to change the diagnosis for 62311-59 in order to get it paid. We are getting these denied by BC/BS stating they would like a post op diagnosis.
 
62311

londie64 said:
Can anyone tell me if it's proper coding to change the diagnosis for 62311-59 in order to get it paid. We are getting these denied by BC/BS stating they would like a post op diagnosis.
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I noticed the 59 modifier. Are you doing multiple procedures or multiple injections? Reason I'm asking is 62311 can only be reported once per region, not per injection.
 
Londie64, you can use 338.18 for 62311-59 if the spinal shot was given for post-operative pain mgmt after a surgery, these injections are very common with TKR, THR and other surgeries.

Erika.
 
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