heatherirene19
Networker
Question:
We just opened an ASC and started billing. Learned the hard way that modifier 50's are not allowed in ASC billing on the facility side, and resent all of those claims. For Medicare however, they are only paying first level facet injections, ie 64493 and not 64494 or 5, as they are add on codes, I thought it wrong to add mod 59's to them. Does anyone know why they wouldn't pay them. They are denying as inclusive in another procedure.
Thanks in advance.
We just opened an ASC and started billing. Learned the hard way that modifier 50's are not allowed in ASC billing on the facility side, and resent all of those claims. For Medicare however, they are only paying first level facet injections, ie 64493 and not 64494 or 5, as they are add on codes, I thought it wrong to add mod 59's to them. Does anyone know why they wouldn't pay them. They are denying as inclusive in another procedure.
Thanks in advance.