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According to the NCCI edits you can bill a 95857 with 36000 as long as a modifier 59 is on the 36000. When our office billed 95857, 36000-59 and
J0461 we were paid for the 95857 and the J0461 but according to the PCC at Medicare and the telephone appeals line the 36000 is a status B code and is never payble. It doesn't matter what you bill 36000 with it will never be paid. However, they can't tell me on their website where that info is posted. Does anyone have any advise on this? Thanks!
J0461 we were paid for the 95857 and the J0461 but according to the PCC at Medicare and the telephone appeals line the 36000 is a status B code and is never payble. It doesn't matter what you bill 36000 with it will never be paid. However, they can't tell me on their website where that info is posted. Does anyone have any advise on this? Thanks!