BonnieJ123
Networker
I have received a denial from Medicare. I billed 33263 for the elective ICD generator replacement for a dual lead ICD:leads were disconnected from device and tested. Leads attached to a new generator. Then, returned the same day to procedure room due to a fractured right ventricle lead that was dissected free and removed from generator. A new lead was inserted into the right ventricle. I added modifier 59 to 33263 knowing there is a CCI edit stating these can never be billed together however since the patient returned to the procedure room I added modifier 59. Would modifier XU be more appropriate or am I billing the wrong CPT codes for this scenario? Please advise and educate me. Thanks