Wiki Help with multiples of 64636

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64636 is an add-on code, so you cannot use a modifier. If you cannot indicate 64636 x 2 on a claim, I would send the claim via snail mail with a copy of the chart explaining what procedures were done. On the claim, I would list it as you did.
 
Hi

You can add 59 modifier to the second Add - on code If insurance not accept to bill as Units.
Otherwise insurance will deny 2nd unit of 64636 as duplicate (Usually 51 modifier cannot be append for Add - on Codes).

Correct billing for your record
64635
64636
64636 - 59

Thank You
 
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