Wiki What modifier? - HELP

cvand1972

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I posted this in the Cardiology Forum but wanted to here also...

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??
 
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