Trendale
Guest
Hello,
Does anyone have an accurate answer and supporting CMS web links to the proper guidelines of blling J3301? There were some previous discussions that I have reviewed in the orthopedic thread, but it still was not quite clarified. I am getting denials on this J code, but not the actual procedure code(s) 20600-20610.
The denial explanation stated it needed a referring physician. My manager feels that it is something else beyond this. It really does not make sense that the procedure code and E/m code is being paid but not the J code, simply for a referring physician. Another issue that was raised was, is the J code bundled into the E/M code? The only thing so far I was able to find on the CMS Florida website is that effective May 2008, certain J codes including the J3301 will be denied w/o a valid NPI.
Does anyone have any concrete supporting links?![Eek! :eek: :eek:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Does anyone have an accurate answer and supporting CMS web links to the proper guidelines of blling J3301? There were some previous discussions that I have reviewed in the orthopedic thread, but it still was not quite clarified. I am getting denials on this J code, but not the actual procedure code(s) 20600-20610.
The denial explanation stated it needed a referring physician. My manager feels that it is something else beyond this. It really does not make sense that the procedure code and E/m code is being paid but not the J code, simply for a referring physician. Another issue that was raised was, is the J code bundled into the E/M code? The only thing so far I was able to find on the CMS Florida website is that effective May 2008, certain J codes including the J3301 will be denied w/o a valid NPI.
Does anyone have any concrete supporting links?