Results 1 to 3 of 3

bill and paid coding error

  1. #1
    Default bill and paid coding error
    Medical Coding Books
    Can any one help me with this, two procedures were done 00740 and 00810 and 00740 paid but 00810 was denied.
    Manager had brought this for me to recode, it was initially coded in India, I told manager, as per anesthesia guidelines code with the higher base unit and total time for both procedure can be billed. but manager stated 00740 was discontined and after an hour to two hour,00810 was performed, but was not coded correctly with a modifier.
    How do I do this, do I have to code 00740-53 and 00810 with total time? and what of the gap in time?
    I told the manager we had to do a corrected claim and refund for the paid claim.
    thanks in advance for any feed back

  2. Default bill and paid coding error
    For the 00740 I would, . Put the 53 modifier on the procedure code (Physician or Physician and CRNA). Use the ICD 9 code for the reason why the procedure was cancelled, if you cannot find one, use the reason why the procedure was going to be done. Use code V64.1 as the second dx., Surgical or other procedure not carried out because of contraindication or V64.2 Surgical or other procedure not carried out because of patient's decision, or V64.3 Procedure not carried out for other reasons.

    Then I would code 00810 with a 59 modifier.

    Just use the times for each procedure. Do not combine them.

    Alicia, CPC

  3. #3

Similar Threads

  1. Physician refusal to correct coding error in record-I found a coding
    By lsmft in forum Compliance General Discussion
    Replies: 9
    Last Post: 07-20-2015, 11:04 AM
  2. Help with coding error
    By june616 in forum Family Practice
    Replies: 4
    Last Post: 02-19-2013, 01:21 PM
  3. how to bill a 76998,26 to Medicare and get it paid
    By mmejac3 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-17-2012, 09:12 AM
  4. Coding for a PA as an assist and getting paid!
    By cassiebel in forum Orthopaedics
    Replies: 8
    Last Post: 03-13-2009, 09:40 AM

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?


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.