Wiki Retrograde pyelogram denied by medicare

[tlm5506]

Hi.
Just wondering if anyone else is getting denials by Medicare for retrograde pyelograms? We are billing them with the 26 modifier and with the stent placement - CPT code 52332. They are being denied by Medicare for reasons of not medically necessary and invalid place of service. We are billing place of service as 22, outpatient hospital. I check NCCI edits and the codes are not edited.
Anyone else having this problem and what are the solutions, if any.
Thanks for your help.

 

[nateich]

We have not had any recent denials. Which code is being used for retrograde with the 26 modifier? I would appeal these charges.

 

[Mconway03]

We usually bill the retrograde pyelogram with a 59 modifier when billing with 52332.... If we don't, it gets denied.