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mutually exclusive

M
Wiki Can a modifier be added at the request of the insurer even if CMS/AMA guidelines don't require one?

We have some CPTs that have been denied by an insurance company for "missing modifier". CPT 99291 was paid then the payment was recouped as "within global period". After our appeal, we received a letter that stated "the claim submitted did not have a modifier appended to the E/M service"...
- mcochran
- Thread
- Feb 20, 2020
- auditing incidental legal modifier mutually exclusive ncci
- Replies: 2
- Forum: Modifiers
S
Wiki mutually exclusive codes

I am trying to bill code M65.341 (trigger finger) and M70.61 (bursitis of hip) and my billing program is generating an edit stating that these codes cannot be billed together bc they are mutually exclusive. Can someone explain this to me since they are totally different parts of the body? thanks!
- stephpatschorke
- Thread
- May 18, 2016
- mutually exclusive
- Replies: 2
- Forum: ICD-10
A
Wiki 17000 and 11602: Mutually exclusive: help!

Three separate lesions. Two classic SK were frozen and a third suspicious spot was excised. Path report returned inflamed SK. Coded 11602 - L82.0, 17000-59 L82.1 17003 L82.1 I am getting a CCI edit for 17000 and 11602 as mutually exclusive. First question, is inflamed...
- allenm
- Thread
- Mar 9, 2016
- 17000 dermatology multiple procedures mutually exclusive seborrheic keratosis
- Replies: 10
- Forum: Dermatology

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