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E0770 KX & medicare 2RY

  1. Default E0770 KX & medicare 2RY
    Medical Coding Books
    Hi everyone,

    I'm trying to help someone get this paid: 2 qty E0770 KX (pt rec in each leg)
    primary has paid. Medicare is 2RY.

    1st billed as: 2 E0770 KX LT RT
    2nd billed: 2 E0770 KX

    Each has denied 'invalid procedure code and/or modifier'
    Can anyone help?

    Thanks so much,
    Tia

  2. #2
    Location
    Columbia, MO
    Posts
    12,843
    Default
    I am not sure I am understanding how this was billed
    did you enter as you have stated? If so that is the problem
    it should be entered as 2 E0770 KX LT RT this would be need to be just the E0770 KX You cannot use LT and RT on the same line so if you are billing for a total of 2 then for a DME you can enter 2 units under units and that should work. or you can use 2 line items but I have my doubts on using the RT and LT modifier I would probably go with a 59 and I have my doubts on that, I really feel just one line with 2 units is the best.
    I am confused over you have a second listing then. Maybe I am missing something or misunderstanding, can you clarify?

    Debra A. Mitchell, MSPH, CPC-H

  3. Default E0770 KX & medicare 2RY
    Hi Debra,

    It's been submitted 2 different times. I listed the the 2 times as 1st billed and 2nd billed. T She tried 1 line w/ 2 units " 2 E0770 KX" and still received 'invalid procedure code and/or modifier' denial. I really appreciate the help. I'll pass on your suggestion.
    Thanks.
    Last edited by tiareads@yahoo.com; 11-09-2011 at 07:50 PM.

  4. #4
    Location
    Baton Rouge
    Posts
    1,239
    Default
    Quote Originally Posted by tiareads@yahoo.com View Post
    Hi Debra,

    It's been submitted 2 different times. I listed the the 2 times as 1st billed and 2nd billed. T She tried 1 line w/ 2 units " 2 E0770 KX" and still received 'invalid procedure code and/or modifier' denial. I really appreciate the help. I'll pass on your suggestion.
    Thanks.
    Possibly needs the "NU" modifier if the unit is new? We had a lot of trouble with DME claims to Medicare before we started using it, or the rental modifier, whichever applies to your office...just a suggestion...
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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