Advanced Search

Oncology & Hematology Coding Alert

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 [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All