Wiki Vascular Coding-I am new to

Mary1

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Hello. I am new to Vascular Coding and have a question. Humana is denying CPT 99234 as being part of a surgical package. Doctor did perform CPT 34825 the day before CPT 99234.
If I a modifier, Humana says it might get paid. However, the same diagnosis code was used for both dates of service. Any help would be appreciated!! Thank you in advance!!:)
 
34825 is a 90 + 1 day global procedure. If the decision was made on the visit 99234 to perform the surgery then you would add 57 modifier to 99234. Again, only if the decision was made on that day!
 
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