I presume the failed procedures, and the successful procedure was done by the same physician ...
That would lead us to the usage of modifers.
Here, you will have a choice. Depending on how you want this to be ... looking on the front cover of the CPT book ... you will find the modifiers.
You can use Modifier 22 or Modifier 51.
Modifier 22 is used for "Increased Procedural Services," and Modifier 51 is "Multiple Procedures.
Try rebilling the unpaid procedures, and modifying them both with 22. If appropriate, give each procedure a different diagnosis code.
If the insurance companies still deny payment ... rebill the procedures with the other Modifer.
By law, you are allowed to rebill (even "Doctor-approved" changing codes) ... until procedures get paid.
Also, if you're not already billing for a separate office visit, in addition to your procedures ... speak with the Doctor about doing the appropriate tasks related to an office visit (History, Time, Medical Decision Making) ... and as the Doctor will give you the appropriate level of an office visit, have him also give you a separate, more generalized diagnosis for the office visit. Link the 2nd procedure to a different diagnosis. This will ensure both procedures get paid at fee schedule rates. (A total of 2 diagnoses, with 1 DX linked to each procedure).
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