You Be the Coder:
Split This Chemo Claim With a Medicare Modifier
Published on Tue Apr 25, 2023
Question: We performed the following services: Dexamethsone: 10:03-10:20 Benadryl®: 10:25-10:40 ULTOMIRIS®: 11:13 – 11:57 3300mg We split the claim to Medicare as the drug charge is in excess of $99,999. However, we are getting an N522 denial as the drug codes on all three claims are bumping against one another. Should we use a 59 modifier, and should we apply [...]