Wiki OBGYN Coders

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Looking for a OB-GYN Medical Coder that can be of contact in case of questions like this...

Sterilization 58600 is done in Day Surgery along with removal of nexplanon 11982. Medicare and Medicaid secondary. But only the 11982 is getting paid?
I had a modifier 59 on 11982 since it was a separate procedure.

Whats your thoughts on how to bill this ?

Thank you!
 
Obgyn

I think I can give you a little help. You mentioned a payment for 11982 but not the primary procedure 58600. I am going to guess the payment was from Medicaid. If that was so, the 58600 is denying because there was no consent form on file for the sterilization. Medicaid requires a signed sterilization consent with the claim. The 11982 does not require any consent.
Hope this answers your question.
 
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