evillan2015
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I contantly have problems with United HealthCare regarding this procedure
62311
7775-59
20553-59
99144
99145
J3301
J2250
They always deny 72275-59 as bundled with main procedure 62311- We always submit the OP Report, with the Separate Radilogy Report
And sometimes they deny the 99144, 99145 which is the Sedation charges first 30 minutes, 2nd additional 15 minutes.
DX code: In this case in the order listed
M48.06
G54.0
M79.1
an someone help and shed some light as to what other way I should bill this procedure?
Each time I have to submit a Reconsideration Request with the Op & Radiology Report again even though they had it already, in addition I now send the AMA Policy guidelines for the Epidurogram (CPT 72275), and for the Sedation I pulled an article from CMS for 991445 & 99145- Called CMS Manual System Pub 100-04 Transmittal 1324- Subject Anesthisia Services Furnished by the Same Physician Providing the Medical and Surgical Service. and I highlight page three of the policy under 99143 to 99145.
Can someone help and shed some light as to what other way I should bill this procedure so I don't have to keep doing this?
Please advise , or feedback.
Thank you,
Elizabeth
62311
7775-59
20553-59
99144
99145
J3301
J2250
They always deny 72275-59 as bundled with main procedure 62311- We always submit the OP Report, with the Separate Radilogy Report
And sometimes they deny the 99144, 99145 which is the Sedation charges first 30 minutes, 2nd additional 15 minutes.
DX code: In this case in the order listed
M48.06
G54.0
M79.1
an someone help and shed some light as to what other way I should bill this procedure?
Each time I have to submit a Reconsideration Request with the Op & Radiology Report again even though they had it already, in addition I now send the AMA Policy guidelines for the Epidurogram (CPT 72275), and for the Sedation I pulled an article from CMS for 991445 & 99145- Called CMS Manual System Pub 100-04 Transmittal 1324- Subject Anesthisia Services Furnished by the Same Physician Providing the Medical and Surgical Service. and I highlight page three of the policy under 99143 to 99145.
Can someone help and shed some light as to what other way I should bill this procedure so I don't have to keep doing this?
Please advise , or feedback.
Thank you,
Elizabeth