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Pain Management

  1. #11
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    Medical Coding Books
    -26 on the professional claim and -TC on the ASC facility charge
    Walker Bachman, CPC, CPPM

  2. #12
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    Your 64476 is an add on code and never needs a modifier... Now with Medicare they may want to see documentation to get the add on code paid.

  3. #13
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    Quote Originally Posted by andelacruz View Post
    Thank you I do have a question in when the dr does a
    27096-LT
    64475_LT
    64476-LT

    Medicare alloed 75.78 and pd 60.62 on the 27096
    allowed 200.02 and pd 160.02
    and denied the 64476 my question is should they have applied the 59 modifier to 75 and 76??? Any thoughts ideas, whatever would be greatly appreciated!!!

    Thank you
    Nicole
    Your 64476 is an add on code and never needs a modifier... Now with Medicare they may want to see documentation to get the add on code paid.

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