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65755 repeat procedure reimbursement

Daniel y Posted Fri 17th of October, 2014 11:34:56 AM

Is it allow to bill 65755 again due to coneal tissue rejection after a month from first surgery? What modifier should I use? I put only ICD-9 370.03 with modifier 79 and received the denial.

SuperCoder Answered Mon 20th of October, 2014 03:37:15 AM

You should have used modifier 76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional.

Also, attach a letter mentioning the medical necessity to repeat the procedure.

Thanks !!

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