• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Cpt 77080 & 77082

Create Wiki
C

coding4fun

Guest
Messages
145
Location
High View, WV
Best answers
0
Recieved a denial for billing these codes together. No modifier was used for billing. I am a little confused regarding billing these two services. Could you gu yt? S please enlighten me regarding billing together & if modifier is needed. Thanks for your help!
 
Just a thought here...but it is curious that you billed for a spine DEXA scan 77080 and an assessment for verterbral fractures 77082, a review of the documentation would be in order to determine that two separate services were performed.
 
I am not familiar with RAD billing but isnt the dexa scan (77080) included in the billing of cpt (77082)? Would you use a modifier for clarification?
 
I am also receiving denials for 77080 and 77082 billed together without a modifier, but only from Aetna. The denial reason is that it hasn't been proven to be effective.

I contacted Aetna and was told they generally deny this code but we could try to obtain a prior authorization for future patients. I was also told that we could try to appeal the denials with proof of medical necessity.

Also, 77081 is included with 77080 and cannot be billed separately.
 
You must log in or register to reply here.
Top