Results 1 to 3 of 3

33249 & 33225 denied

  1. Question 33249 & 33225 denied
    Exam Training Packages
    33249 - denied
    33225 - denied
    36005(59) - paid
    71090(26) - paid

    33249 denied for not having appropriate modifier.
    33225 is an add-on code and was denied as not having primary code****33225 can be used w/33249.

    Any suggestions?

  2. Default
    Hello: What diagnosis was used and was this Medicare?

    You may need the Q0 modifier on 33249 if Medicare and there is a list of dx that support the AICD placement that do not require the Q0 modifer.

    The DX used for 33225 may not support LV lead placement or it also may be rejecting because the 33249 was rejected.

    I believe there are Medicare policies that may be helpful.

    Hope this helps!
    Last edited by dpumford; 06-01-2011 at 02:57 PM.

  3. Default
    Quote Originally Posted by dpumford View Post
    Hello: What diagnosis was used and was this Medicare?

    You may need the Q0 modifier on 33249 if Medicare and there is a list of dx that support the AICD placement that do not require the Q0 modifer.

    The DX used for 33225 may not support LV lead placement or it also may be rejecting because the 33249 was rejected.

    I believe there are Medicare policies that may be helpful.

    Hope this helps!
    The Dx is 428.22 & it is Medicare. Why would I need to put a Q0 modifier. Per Ingenix, 33249 does not accept that modifier.

Similar Threads

  1. 33225 + ?
    By Jess1125 in forum Cardiology
    Replies: 2
    Last Post: 11-13-2012, 12:06 PM
  2. Replies: 1
    Last Post: 06-12-2012, 11:13 AM
  3. 33225 denied
    By coders_rock! in forum Cardiology
    Replies: 2
    Last Post: 07-21-2011, 08:02 AM
  4. 36005 denied as bundled to 33249
    By coders_rock! in forum Cardiology
    Replies: 5
    Last Post: 05-13-2011, 03:17 PM
  5. CPT code 33249 and 33225
    By cvand1972 in forum Cardiology
    Replies: 1
    Last Post: 04-19-2011, 04:07 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.