Wiki Pain Injections and Modifier 76

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Soms4

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Hello,

Has anyone had issues with Medicare paying for all lines on for example 64450, 64450 59, 64450 59? We have some Medicares that are only paying the first line. We have appealed stating we have not met MUE and sent in information for medical necessity. One Medicare Rep stated to use the 76 modifier. However I don't think that would be appropriate. Has anyone else had experience with this? Have you used the 76 modifier on pain injections? We are an ASC.

Thanks
 
76 is incorrect if these are separate nerves in the same session. try using the XS modifier for separate site. What are the specific nerves your provider is injecting?
 
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