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Wiki Need hellp with billing 77427 for Medicare

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chuff

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We are having problems getting medicare to pay for 77427. Can any one give me some guidance? I know you can only bill for 5 sessions at a time but we keep getting denied because of the admit to and from dates. Is there a trick to it?:confused:
 
The bill to and from dates should be the same. You are only reporting one unit for each 5 fractions. Usually we bill the date of the fifth treatment.
 
My suggestion is to look very closely at your LCD and see if there is any instruction, some MAC's instuct the date of service of 77427 is the same date as the first treatment of every five-treatment interval. Also I believe this is how the Medicare Claims Processing Manual instructs. It's region-specific.
 
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