I hate posting some of my questions about ER billing because I don't have the whole picture, but here goes. The ER docs are responsible for their own coding of procedures.
We billed:
99283 25
65435
65220
BCBS denied the 65435, payment is included in the allowance of the procedure or other service. The only dx that was used on the claim was 930.8.
My first thought is that another modifier should be used (mod 51) but then I question whether the one diagnosis can support all 3 charges. Please help me understand.
Thanks,
Jolie
We billed:
99283 25
65435
65220
BCBS denied the 65435, payment is included in the allowance of the procedure or other service. The only dx that was used on the claim was 930.8.
My first thought is that another modifier should be used (mod 51) but then I question whether the one diagnosis can support all 3 charges. Please help me understand.
Thanks,
Jolie
