I recently started billing for a Pain Dr and he is doing Epidural steroid injections and MAC. We bill the procedure under the Dr and the MAC under the CRNA. UHC is denying both claims as "Unbundled service" . My question is - is it ok to add a 59 mod to the 01935(MAC) claim when billing to UHC? No other carrier is denying our claims as bundled.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Billing MAC to UHC
- Thread starter asexton81
- Start date
Michele Hannon
Guest
CPT 01935 is used to report anesthesia for percutaneous guided procedures on the spine and spinal cord-diagnostic. Examples of this would be myelography or discography.
You should consider 01991/01992
You should consider 01991/01992