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  1. #1
    Default 86235
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    Good Morning !

    I have a Claim back from our Billing dept. Here is what happened.

    Claim was sent in 86235 Mod 76 and they did this 5 times.
    (Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody )

    They were all Bundled by the Ins. Company.
    And the Billers are wondering how to UN-Bundle them to get paid for all 5 tests?

    And this was all done before i started here, and i really have no clue where they got the Mod 76 ,
    it doesnt even come up as a Valid Mod for this Code.

    And i'm not sure of myself on this one,
    either 86235 X5
    or 86235 on seperate lines with Mod 59

    Thanks In advance !
    Last edited by DoDCoder4You; 10-20-2010 at 03:27 PM.

  2. #2

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