our previous biller billed a 62311-53 and all the drugs used (were actually drawn up but discarded).
Doctors note states skin was anesthetized and touhy needle was partially placed, when the patient had a vaso-vagal reaction causing his heart rate to drop. After the patient was more stable the doctor continued to advance the needle, but patient had same reaction so the needle was removed. All of the medications were previously drawn up and were discarded.
Medicare denied procedure as a billing error. Is this modifier not used with medicare? or was the service provided not far enough into the procedure to qualify as a discontinued procedure?
thanks
Doctors note states skin was anesthetized and touhy needle was partially placed, when the patient had a vaso-vagal reaction causing his heart rate to drop. After the patient was more stable the doctor continued to advance the needle, but patient had same reaction so the needle was removed. All of the medications were previously drawn up and were discarded.
Medicare denied procedure as a billing error. Is this modifier not used with medicare? or was the service provided not far enough into the procedure to qualify as a discontinued procedure?
thanks
