ljhaley@gmail.com
Networker
PROB: female with a ruptured right ectopic pregnancy, requesting permanent sterilization vial a tubal ligation to the left side at time of surgery for the ectopic problem.
PROC Performed: Laproscopy, with right salpingectomy, a left tubal ligation, and evacuation of 1000ml of hemoperitoneum.
We billed as 59151, with add on code of 58611, attached no modifiers as directed by CCI and checked to be sure neither code excluded the other.
Today the payor's EOB says they're paying the 59151 only, denying 58611 as inclusive
(My supervisor put ICD9 of 761.4 on both, but maybe the 58611 should've been V61.5?)
Called the payor, all they said was "wrong codes" nothing more specific-can anyone give me some suggestions please? MANY thanks!
PROC Performed: Laproscopy, with right salpingectomy, a left tubal ligation, and evacuation of 1000ml of hemoperitoneum.
We billed as 59151, with add on code of 58611, attached no modifiers as directed by CCI and checked to be sure neither code excluded the other.
Today the payor's EOB says they're paying the 59151 only, denying 58611 as inclusive
(My supervisor put ICD9 of 761.4 on both, but maybe the 58611 should've been V61.5?)
Called the payor, all they said was "wrong codes" nothing more specific-can anyone give me some suggestions please? MANY thanks!