missyah20
Guru
I have a claim for a patient that had 3 bilateral facet joint injections done. We billed with 3 lines:
64470 - 50
64472 - 50
64472 - 50- 59
Medicare has paid on the first line, but has then denied the 64472 codes with a remark code CO-97(service included in payment/allowance for antoher service procedure that has already been adjudicated).
The medicare contractor for this particular practice is WPS. I have looked at the Paravertrebral Facet injection LCD and didn't see anything wrong with how we are billing also per the article attached to the LCD it states: "Each CPT code listed(single leve, each additional level) may be billed with a Modifier 50 when injecting a level bilaterally."
Has anyone else had any denials like this? Should be be billing this differently?
Thanks!
64470 - 50
64472 - 50
64472 - 50- 59
Medicare has paid on the first line, but has then denied the 64472 codes with a remark code CO-97(service included in payment/allowance for antoher service procedure that has already been adjudicated).
The medicare contractor for this particular practice is WPS. I have looked at the Paravertrebral Facet injection LCD and didn't see anything wrong with how we are billing also per the article attached to the LCD it states: "Each CPT code listed(single leve, each additional level) may be billed with a Modifier 50 when injecting a level bilaterally."
Has anyone else had any denials like this? Should be be billing this differently?
Thanks!