SHERRY SCHEXNAYDER
Contributor
I recently had a worker's compensation claim that has been denied for the use of J1885, J2001 and J1100. They have denied as invalid codes by Sedgwick CMS. and MNS. Per Title 40 of the LA WC Administration fee schedule. I used 96732 with the codes plus the NDC# of each injections to identify with a 25 modifier on the visit. When I looked up Title 40 latest edition 2014, does it want me to use 90782? That's an invalid code! I did a claim check edit on Supercoder, says to use modifier 51 on each injection. That's shows not necessary on my check edits on my Winmed software.I could some advice on how to bill to get these injections paid. I have been coding for 25+ years. Thanks in advance.View attachment DOC022.pdfView attachment DOC021.pdf
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