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Thread: J7321

  1. #1
    Join Date
    Apr 2007
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    still new
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    Default J7321

    Promo: Code Books
    Happy 2010 to everyone!!! I appreciate everyone's helpfullness on all of my questions I have had.

    I have another however, Our company has billed
    20610
    J7321

    Mcr has paid for the 20610 but the J7321 has not and they are stating that it is inconsistent w/the modifier used or a modifier is needed. I am assuming that I need one since we didn't bill one. I'm sorry but there are no coding books here at this office and I am just stumped, I need to definiately bring my books in here from class.!!!

  2. #2
    Join Date
    Apr 2007
    Location
    Athens, Ga.
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    693

    Default

    We bill that code all the time to Medicare without a modifier and get paid. I would check the LCD for billing guidelines. Maybe you carrier has a specific way they want it billed (L/R?).
    Walker Bachman, CPC, CPPM

  3. #3
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    Default Thanks

    Thank you for all your help!

  4. #4
    Join Date
    Apr 2007
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    Greeley, Colorado
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    2,046

    Default

    Quote Originally Posted by Walker22 View Post
    We bill that code all the time to Medicare without a modifier and get paid. I would check the LCD for billing guidelines. Maybe you carrier has a specific way they want it billed (L/R?).
    That or they denied it incorrectly.
    Lisa Bledsoe, CPC, CPMA

  5. #5

    Default J7321 and modifiers

    Our Indiana carrier requires an RT or LT for J7321. If both joints then J7321 needs listed separately. For the 2nd and 3rd treatment, it requires the EJ modifier.

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