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Spinal Surgery stuck in Zirmed...HELP!!!!!!!!!!

  1. #1
    Exclamation Spinal Surgery stuck in Zirmed...HELP!!!!!!!!!!
    Medical Coding Books


    I have a claim that has been stuck in Zirmed for a couple months. Service date is 9/2011..
    the following procedures were billed;
    63047- m80 m22
    63048-m80 m22
    63030-m80 m22 m50
    63035-m80 m22

    error; 310 THE INDICATED CODE SHOULD NOT BE ON THIS CLAIM WITH ONE OF THE OTHER PROCEDURES. CODE IS INCLUDED AS AN INCLUSIVE COMPONENT OF THE PRIMARY PROCEDURE. 20110920 20110920 63030 80 22 21 1 001 0563500

    I have billed with M59 and without because the primary ins paid it without the 59 the secondary is BCBS (Ms)...

    Any idea what I am doing wrong??????? Would love to get this paid!

    Thank you for any help or suggestions!

    Lisa Fisher, CPC
    VP AAPC Mobile, AL Chapter
    IMDS Inc. Daphne, AL
    251-621-6478
    lfisher@imdsinc.com

  2. #2
    Default
    I have found this article and hopefully it will be helpful to you.
    http://www.supercoder.com/articles/a...laminectomies/
    But billing both 63047 and 63030 I'm surprise you have recvd paymt because more than likely it will get denied by many ins. as you mentioned its inclusive. But hope this articles helps.

    I also found this article as well that may be helpful.
    http://www.supercoder.com/articles/a...crodiskectomy/
    As long as they are done at different levels. Both codes may be billed together.
    Last edited by ckirkp1; 02-03-2012 at 09:02 AM.

  3. #3
    Default
    THANK YOU ZIRMED!!! Amy, a representative with Zirmed called me first thing this morning and wanted to help get this issue resolved. She contacted BCBS and was able to get them to tell us what needed to be done. Looks like the only problem that we had was the M59 should have been the first modifier that we listed. We corrected and resubmitted. Thanks again the the quick response and help from Zirmed!!

    Lisa Fisher, CPC
    IMDS Inc.
    251-621-6478
    lfisher@imdsinc.com

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