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Wiki Medicare policy

Tata1985

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Location
Naperville, IL
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Hello all,
I have been coding for only a year in an outpatient surgery center. My question is about code 22869. Medicare is not paying the add on code 22870, So the question is am I able to code 22869 twice with a modifier 59. Because they are doing this on 2 levels for the device implant. Or is there another code that takes care of multiple levels. Thank you in advance
 
medicare ASC payment methodology doesn't pay extra for many add-on codes so the rate is the same regardless of the number of levels. Still report it for cost reporting basis and setting of future rates but all codes with payment indicator N1 pay $0.
 
Hello, we're just starting to perform this procedure and I wasn't able to locate a Medicare policy for 22867-22870. Could someone point me in the direction? Thanks
 
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