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Wiki J1010 160 MGS BILATERAL

Thread starter hsmith67
Start date Dec 15, 2024

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hsmith67

Guru

Dec 15, 2024

So the MUE on J1010 is 120 and the provider administered 80 mg per side for 20610. BCBS Nebraska Medicare not paying anything on the J1010 due to exceeding MUE. Can someone tell me the best way to code/bill the 160 units of J1010? I'm thinking to bill 120 on one line and 40 with an SC modifier on the second line but open to suggestions.
Thanks for any help!
Hunter Smith, CPC

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