You Be the Coder:
Breaking the 64493/01992 Edit for Separate Providers
Published on Tue Jan 28, 2014
Question: Our pain management physician administered an injection (64493) and the CRNA provided anesthesia (01992). We filed the claims separately, but the CRNA’s was filed under the physician’s ID number. We included modifier QZ on the claims. The payer denied the claim on the basis that 01992 is incidental to 64493 per CCI edits and can’t be broken with a [...]