Billing500
Networker
- Messages
- 56
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All of our anesthesia claims are being denied by Medicare when billing:
00810 AA QS PT
The 33's are being paid correctly.
The "senior CMS rep" has directed me to a January 2015 Release - Part B document which only calls for modifier 33 to be used for anesthesia associated with screening colonoscopy. She further said that only the provider doing the actual colonoscopy should be billing with a PT.
I've seen many other sites (including some fairly well known anesthesia sites), which list PT as the modifier which should be used in cases where polyps were removed or a biopsy was taken.
Has anyone else had trouble with denials when using modifier PT??
00810 AA QS PT
The 33's are being paid correctly.
The "senior CMS rep" has directed me to a January 2015 Release - Part B document which only calls for modifier 33 to be used for anesthesia associated with screening colonoscopy. She further said that only the provider doing the actual colonoscopy should be billing with a PT.
I've seen many other sites (including some fairly well known anesthesia sites), which list PT as the modifier which should be used in cases where polyps were removed or a biopsy was taken.
Has anyone else had trouble with denials when using modifier PT??