• 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 VA billing for bilateral procedures

Create Wiki
M

MChase928

Contributor
Messages
15
Location
Bradenton, FL
Best answers
0
We have several recent bilateral FESS procedures that we first billed to Veterans Administration Community Care Network (Optum/UHC network) using 50 modifier. Claim was rejected. After speaking with VA we were told to send a corrected claim without the 50 modifier which we did and claim rejected again. Third time speaking with a VA Optum rep, we were told to submit one line item with 2 units for bilateral procedure. Claim again rejected for invalid number of units. Claim example 31253 bilat, 31267 bilat and 30140 bilat. Second claim example 30520, 31253-51-LT, 31255-XS-RT, 31267 x 2 units, 30140 x 2 units. Any insight into this claims debacle will be appreciated. Thank you.
 
You must log in or register to reply here.
Top