Can we charge for 77295 for two different body parts if the plan is signed on the same DOS and has a different CT dataset? If so, what modifier is needed?
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Wiki 77295
- Thread starter keiteisha.pierre@gmail.com
- Start date
CBLENNIE
Expert
The physician MUEs for 77295 are 1 unit per DOS with an MUE adjudication indicator (MAI) indicator of 3. An MAI of 3 means that you can appeal the denial of units over the MUE for the DOS. Here is a small bit of information per CMS Manual 100-20 Transmittal #1421:
There are instructions in the transmittal which I linked in my response on what is necessary to appeal.
There are instructions in the transmittal which I linked in my response on what is necessary to appeal.