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97597 and 97598

  1. #11
    Default
    Exam Training Packages
    I believe it is a total of 4 units (97597 + 97598). Regardless, as long as the documentation supports it, greater than 4 units will be paid on appeal.
    L. Mark Kozu, COC, CPC, CCC

  2. #12
    Default 97597 billed with 97598
    I have billed and been paid by Medicare -
    97597 -
    97598 - (4 units)
    97598 76 (4 units)
    and have billed as many as 8 lines
    Carolyn S CPC

  3. Lightbulb Multple unit billing for 97598 2017
    trying to establish base line of MUE for 97598. My wound care center can care for up to 1916 sq cm of damage which means 97597 x1 unit & 97598 x 95 units. It is not going thru the EMR scrub. What can I do to assure payment?

  4. #14
    Default
    Quote Originally Posted by mjstack View Post
    trying to establish base line of MUE for 97598. My wound care center can care for up to 1916 sq cm of damage which means 97597 x1 unit & 97598 x 95 units. It is not going thru the EMR scrub. What can I do to assure payment?

    You can't assure payment without likely going through an appeals process w/ notes after MUE denial by payer.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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