Wiki What Modifier - HELP

[cvand1972]

Patient has a Loop Recorder implanted on 6/12/09. Returns to the Operating room on 6/15/09 and has it removed and then has a pacemaker implanted. CPT codes are
33282 6/12/09
33284 6/15/09
33207 6/15/09
Our local medicare (NGS) is denying the 33284 and 33207 stating that the payment is included in another procedure.
I'm looking at a modifier of 78 but I'm not sure.
Has anyone else run across something like this?? Or does anyone have any ideas on a modifier??

 

[skirache]

i think modifier 78 best described ur problem.

 

[heatheralayna]

Patient has a Loop Recorder implanted on 6/12/09. Returns to the Operating room on 6/15/09 and has it removed and then has a pacemaker implanted. CPT codes are
33282 6/12/09
33284 6/15/09
33207 6/15/09
Our local medicare (NGS) is denying the 33284 and 33207 stating that the payment is included in another procedure.
I'm looking at a modifier of 78 but I'm not sure.
Has anyone else run across something like this?? Or does anyone have any ideas on a modifier??

If the 33282 has a global period, which I do not know off hand if it does, then yes a -78 would need to be used on each of the procedure codes. -78 is a return to the OR during a global by the same Dr.