Wiki question re allograft

[dalanicks@aol.com]

new office I work in (spine surgeon) constantly billing 22633 22842 63047 and 20930 - denial are indicating that 20930 is included, I know 20930 cannot take modifier 59 but is this true does anyone have any feedback on this thank you

 

[avon4117]

Some payors pay for allo/autograft and some don't. You cannot append with a modifier. I know medicare doesn't pay for it..but BCBS does. So you can continue to bill it and if the payor denies it then it will have to be adjusted.