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Reader Questions: Avoid Denials for False Duplicate Codes

Published in Neurology & Pain Management Coding Alert, June 2010

Question: Our practice provides sleep lab services, but for business accounting reasons, we need to separate the professional and technical components of the sleep lab services. So when we bill two line items, we’re using the same procedure codes for both. Even though we’ll append modifier TC or 26, we’ve been getting denied for duplicate services. What’s wrong with our process?
Ohio Subscriber
Answer: The problem could be that your payer is interpreting this as an attempt [...]


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Published in Neurology & Pain Management Coding Alert, June 2010
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