SuperCoder Posted Thu 17th of March, 2011 14:22:45 PM
A9579 was denied as included in 72156 can i put a 59 mod and get pd or is it always going to bundle
SuperCoder Answered Sun 20th of March, 2011 17:38:56 PM
Medicare will pay separately for the contrast medium used in performing any MRI services that require the use of contrast. If the service is CPT codes 70553, 72156, 72157, or 72158, the A9579 should be billed for the standard amount of material AND ALSO the additional amount for the increased dose. No modifier is required here.
The only additional info I see in some articles is that an invoice is required when billing for codes A9576 – A9579. Check if this is the reason of denial ?