Hey all
I am confused with regards to billing for fluro for say a Transforaminal ESI and adding the 59 modifier to code 77003.
I say we cannot bill the fluro separately (77003) with a 64483 because per the CPT book it says do not report 77002, 77003 in conjunction with 10030,22586,27096,64479-64484, 64490-64495, 64633-64636, 0195T, 0196T, 0309T.
The problem I am having is when you put the two codes into a CCI checker (we use medassets or codecorrect) It says it is payable with modifier 59 and my employer wants to bill it with everything. I say no because of what it says in the CPT book... Wouldnt we need separate documentation if we are going to be using a 59 everytime?!? I mean the provider can't do a TFESI without fluro.
Any links or documentation on this would be very helpful and if the employer is right I can live with that too I just need the clarification!
I am confused with regards to billing for fluro for say a Transforaminal ESI and adding the 59 modifier to code 77003.
I say we cannot bill the fluro separately (77003) with a 64483 because per the CPT book it says do not report 77002, 77003 in conjunction with 10030,22586,27096,64479-64484, 64490-64495, 64633-64636, 0195T, 0196T, 0309T.
The problem I am having is when you put the two codes into a CCI checker (we use medassets or codecorrect) It says it is payable with modifier 59 and my employer wants to bill it with everything. I say no because of what it says in the CPT book... Wouldnt we need separate documentation if we are going to be using a 59 everytime?!? I mean the provider can't do a TFESI without fluro.
Any links or documentation on this would be very helpful and if the employer is right I can live with that too I just need the clarification!