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3 ofc surg to Medicare

Debra Posted Thu 06th of August, 2015 13:54:37 PM

Billed 11422, 17110XS,& 17000XS51 to Medicare, all done on same day. Medicare paid for 17110 & 17000. Received rejection for 11422 that stated 'this proc requires a qualifying proc be rcd & covered'& 'not covered when performed same date as previously processed service'. What modifier should I use to get 11422 paid? (all procedures were in different areas of the body).

SuperCoder Answered Fri 07th of August, 2015 00:40:25 AM

CPT 11422 gets bundled into CPT 17000. To specify it as separate procedure done on separate organ, please append modifier -XS with 11422.

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