MAult142
Networker
Has anyone had any luck getting a G6021 claim paid?
One scenario: the doctor did a snare removal in the ascending colon and a banding in the rectum so I coded 45385, G6021-59 and it got rejected as invalid modifier. So then I tried with 45385, G6021-XS on the off chance that the rectum counted as a separate structure from the ascending colon. Still rejected. Apparently, neither one of those modifiers is set up to be acceptable with G6021? Should I put it on the 45385?
Second scenario: the doctor decompressed a volvulus but couldn't get the scope beyond it. I coded 45378-53, G6021. They paid on the 45378 and denied G6021. Does anyone know what a correctly paid 45378, G6021 claim looks like?
One scenario: the doctor did a snare removal in the ascending colon and a banding in the rectum so I coded 45385, G6021-59 and it got rejected as invalid modifier. So then I tried with 45385, G6021-XS on the off chance that the rectum counted as a separate structure from the ascending colon. Still rejected. Apparently, neither one of those modifiers is set up to be acceptable with G6021? Should I put it on the 45385?
Second scenario: the doctor decompressed a volvulus but couldn't get the scope beyond it. I coded 45378-53, G6021. They paid on the 45378 and denied G6021. Does anyone know what a correctly paid 45378, G6021 claim looks like?