Can anyone help me with this? A patient had surgery in June 2008. They has the following procedures:
31075, 31276, 31255, 31267, and 31288. Cigna has paid all but 31267. They are denying it as not typically covered on the same DOS as the other covered charges. We billed with modifiers 50 since it was bilateral and with a 51 modifier. I don't see anything in the CCI Edits that would say that we could not bill with those other services.
I am stumped. Thanks!!
31075, 31276, 31255, 31267, and 31288. Cigna has paid all but 31267. They are denying it as not typically covered on the same DOS as the other covered charges. We billed with modifiers 50 since it was bilateral and with a 51 modifier. I don't see anything in the CCI Edits that would say that we could not bill with those other services.
I am stumped. Thanks!!