Hello, everyone!
I'm new to Anesthesia billing, and recently we've been getting inundated with denials for Medicare and Medi-Cal plans (including those billed to IPAs) for a modifier/coding issue on 64488 (see denial reason below). We bill out 64488 with 59 modifier. Is there a more appropriate modifier to bill on this service line? Would anyone be able to provide some insight? Thank you kindly in advance!
I'm new to Anesthesia billing, and recently we've been getting inundated with denials for Medicare and Medi-Cal plans (including those billed to IPAs) for a modifier/coding issue on 64488 (see denial reason below). We bill out 64488 with 59 modifier. Is there a more appropriate modifier to bill on this service line? Would anyone be able to provide some insight? Thank you kindly in advance!
| This should be billed with the appropriate code for these services. |
| This procedure requires an appropriate modifier, appropriate modifier was not submitted on the claim. |
