evillan2015
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I submitted a claim to a Workman's Compensation Carrier as follow:
CPT codes
62365- Removal of subcutaneous reservioir pump, previously implanted for intrathecal or epidural infusion
62362-59 - programmable pump, incluiding preparation of pump, with or without programming
62368-59 -with programming
95991-59 -requiring a skill of a physcian
77003-26 - Fluoroscopic guidane and localization of needle or atheter tip for spine
95972-59- Complex spinal cord, or periphjeral neurostimulator pulse generator/transmitter,w/ntraoperative or subgsequent programming
A4220 - supplies
J2275 - agent
DX Codes:
G56.42
M79.1
all paid but the main procedure 62365, and 62368-59, A4220
and 62362-59 paid @ 50% even though the main procedure was not paid
Please advise as to what I can do for the codes not paid can be reconsidered.
Thank you anyone that can assist. It will be greatly appreciated. Now days WC I believe follow Medicare guidelines not sure.
Please Help
Elizabeth in (it so hot here in San Antonio) coming from a Chicago girl
CPT codes
62365- Removal of subcutaneous reservioir pump, previously implanted for intrathecal or epidural infusion
62362-59 - programmable pump, incluiding preparation of pump, with or without programming
62368-59 -with programming
95991-59 -requiring a skill of a physcian
77003-26 - Fluoroscopic guidane and localization of needle or atheter tip for spine
95972-59- Complex spinal cord, or periphjeral neurostimulator pulse generator/transmitter,w/ntraoperative or subgsequent programming
A4220 - supplies
J2275 - agent
DX Codes:
G56.42
M79.1
all paid but the main procedure 62365, and 62368-59, A4220
and 62362-59 paid @ 50% even though the main procedure was not paid
Please advise as to what I can do for the codes not paid can be reconsidered.
Thank you anyone that can assist. It will be greatly appreciated. Now days WC I believe follow Medicare guidelines not sure.
Please Help
Elizabeth in (it so hot here in San Antonio) coming from a Chicago girl