krssy70
Guru
I am getting denials for modifier 78 not being billed with modifier 59.
Example,
Pt has a Lap Chole and returns to ER with abdominal pain a week later. DX of small bowel obstruction. I bill the small bowlel resection with modifier 78. The surgery gets denied needed additional modifier. They are saying when you bill a 78 you should also bill a 59. I have never billed a 59 with a 78....![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Is anybody else billing post op complications this way?
Any input is greatly appreciated.
thank you
Example,
Pt has a Lap Chole and returns to ER with abdominal pain a week later. DX of small bowel obstruction. I bill the small bowlel resection with modifier 78. The surgery gets denied needed additional modifier. They are saying when you bill a 78 you should also bill a 59. I have never billed a 59 with a 78....
Is anybody else billing post op complications this way?
Any input is greatly appreciated.
thank you