Neurology office with DBS subsequent programming claim problems.
Provider spent total of 74 minutes of programming, with an E/M office visit and exam. Do I need to add a modifier to the "add-on" code for the additional 14 minutes?
Claim currently reads:
99214-24
95978
95979
Payer is stating that 95978 needs modifier 52 added for the reduced service???
Why doesn't this make sense to me? 95978 is for the first hour, which was accomplished. 95979 is for each additional 30 minutes. If a modifier is needed wouldn't it be added to the 95979?
Feeling frustrated in Oregon today........
Help Please! DBS subsequent programming
Provider spent total of 74 minutes of programming, with an E/M office visit and exam. Do I need to add a modifier to the "add-on" code for the additional 14 minutes?
Claim currently reads:
99214-24
95978
95979
Payer is stating that 95978 needs modifier 52 added for the reduced service???
Why doesn't this make sense to me? 95978 is for the first hour, which was accomplished. 95979 is for each additional 30 minutes. If a modifier is needed wouldn't it be added to the 95979?
Feeling frustrated in Oregon today........
Stacy Moch, CPC-A (only one month to go to remove the 'A' 
Help Please! DBS subsequent programming
Aucun commentaire:
Enregistrer un commentaire