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Wiki 00811, 00812 and 00813

Thread starter vijay.gomey
Start date Feb 20, 2019

Create Wiki

vijay.gomey

Guest

Feb 20, 2019

I bill for Florida based anesthesia providers. I have seen some MCR denials for 00813 when a screening colonoscopy was performed with EGD and the screening colonoscopy turned diagnostic. I have been billing 00813 with modifier PT without Z12.11 or Z80.010. Mcr states modifier used is inappropriate with 00813.
Any help is appreciable. Not sure of any new Medicare guidelines if any. Please update. Appreciate !!

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