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Thread: What modifier? - HELP

  1. #1

    Default What modifier? - HELP

    AAPC: Back to School
    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??

  2. #2


    58 staged procedure

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