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92136-aving a bit of trouble

  1. #1
    Question 92136-aving a bit of trouble
    Medical Coding Books
    Hello!

    We are having a bit of trouble with Medicare denying our 92136 codes. We have always billed 92136-26 and 92136-TC, as we do both the professional and technical components for this code. All of a sudden, Medicare is denying stating that they will not pay for this many services. And of course, the customer service reps cannot tell us how they need it billed.

    Does anyone have any helpful hints or advice?

    Thanks in advance!

  2. #2
    Location
    Columbia, MO
    Posts
    12,942
    Default
    Why have you been split billing this?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Because our physicians do both the technical and professional components. It is how they have always billed it out...I'm just a newer coder and am trying to figure out the issue here.

  4. #4
    Smile
    You will need to pull your LCD for your region to view the frequency limits. However, the service may have been performed and billed with the same diagnosis, so you might need to send in a re determination if you can't get an answer on your own.

    Quote Originally Posted by JNBagley View Post
    Because our physicians do both the technical and professional components. It is how they have always billed it out...I'm just a newer coder and am trying to figure out the issue here.
    [COLOR="Blue"]Kandy Morris CCS, CCS-P, CPC, CPB, CPC-I, CPMA, CEMC, CPOC
    AHIMA-approved ICD-10CM/PCS Trainer & Ambassador
    AAPC PMCC Approved Instructor
    Email: kandymorris3@yahoo.com

  5. Default
    If you're doing both interpretation and own the equipment (technical), you should bill global. Don't split with the two modifiers. I'm assuming your POS is office (11).

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