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Thread: 64622 medicare denial

  1. #1

    Default 64622 medicare denial

    AAPC: Back to School
    We billed Highmark Medicare for 64622 RT, 64623 x 3 RT for a 2/18/09 date of service. Pt returned and had 64622 LT, 64623 x 3 LT for 2/27/09. Medicare paid the 1st DOS and denied the 2nd as "payment included in the allowance for another service". I appealed, included copies of dictation for all dates of service, noting the Right & Left in particular. I received a 2nd denial as within the global period. What am I missing? Does the global period for the right side include any services done to the left side? Thanks ahead for any direction!

  2. #2
    Join Date
    Apr 2007
    Locust Grove, GA

    Default 64622 denial response

    I did not see any mention of modifier "78" to indicate to the Third Party Payer that the patient returned to the operating room for a related procedure during the "postoperative period".

    Chronicles Billing Inc.

  3. #3


    You're right! I missed that completely! Thanks so much.

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