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using 338.18 with 62311-59

  1. Question using 338.18 with 62311-59
    Medical Coding Books
    Can anyone tell me if it's proper coding to change the diagnosis for 62311-59 in order to get it paid. We are getting these denied by BC/BS stating they would like a post op diagnosis.

  2. #2
    Default 62311
    Quote Originally Posted by londie64 View Post
    Can anyone tell me if it's proper coding to change the diagnosis for 62311-59 in order to get it paid. We are getting these denied by BC/BS stating they would like a post op diagnosis.
    I noticed the 59 modifier. Are you doing multiple procedures or multiple injections? Reason I'm asking is 62311 can only be reported once per region, not per injection.

  3. #3
    Default
    Londie64, you can use 338.18 for 62311-59 if the spinal shot was given for post-operative pain mgmt after a surgery, these injections are very common with TKR, THR and other surgeries.

    Erika.

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