wonder1963
Networker
Medicare is denying 64447 for unit of measure . I billed per unit with a 59 modifier . can someone tell me how I should bill this?
Medicare is denying 64447 for unit of measure . I billed per unit with a 59 modifier . can someone tell me how I should bill this?
MUE is 1 per day. If its bilateral use mod 50 w/ 1 unit
I understand this is a very old thread however, I am finding the same issue. Primary anesthesia code is 01992-QZ-QS-P2 (moderate sedation, CRNA) billed as Minutes, post-op pain block 64447-59 billed as 1 Unit denying by Medicare via clearinghouse for same reason as above (Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected : Information submitted inconsistent with billing guidelines... Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected : Unit or Basis for Measurement Code)."Medicare is denying 64447 for unit of measure . I billed per unit with a 59 modifier . can someone tell me how I should bill this?
If moderate sedation or MAC are the anesthesia method, the anesthesia method on the claim should be Regional. Blocks may not be billed separately for these anesthesia methods.I understand this is a very old thread however, I am finding the same issue. Primary anesthesia code is 01992-QZ-QS-P2 (moderate sedation, CRNA) billed as Minutes, post-op pain block 64447-59 billed as 1 Unit denying by Medicare via clearinghouse for same reason as above (Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected : Information submitted inconsistent with billing guidelines... Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected : Unit or Basis for Measurement Code)."
Does anyone have any suggestions? Does this need to be billed as Minutes for some reason? I have researched everywhere I know and can still not figure out what the issue is however, I am new to anesthesia billing. Thank you
Do you happen to have experience with code 64483 being billed by facility and administering doc (pain management) and CRNA billing 01992 with QZ modifier? Three separate claims. CRNA is only monitoring vitals with no anesthetic given. Max of 10 min. The CRNA does do a pre-op consult. I would think that CRNA isn't able to bill 01992 because only vitals are being monitored?If moderate sedation or MAC are the anesthesia method, the anesthesia method on the claim should be Regional. Blocks may not be billed separately for these anesthesia methods.
You may only bill blocks separately when the Spinal or General are the anesthesia methods.
64483 should have an ASA code of 01937 (cervical or thoracic) or 01937 (lumbar or sacral) depending on the area of the spine targeted.Do you happen to have experience with code 64483 being billed by facility and administering doc (pain management) and CRNA billing 01992 with QZ modifier? Three separate claims. CRNA is only monitoring vitals with no anesthetic given. Max of 10 min. The CRNA does do a pre-op consult. I would think that CRNA isn't able to bill 01992 because only vitals are being monitored?