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Answers to Compliance and Medical Coding Questions.
  1. Venkataraman Posted 6 month(s) agoRelated Topics

    Example: Patient had a biopsy (88305), with the a KI-67 (88360) and Pan-Melanin (88342) performed. We are receiving payment on the 88360. However the 88342 is denying as "payment included in other procedure". Is a modifier required for the 88342? If so, would it also be required for any subsequent 88341?

  2. SuperCoder Posted 6 month(s) ago

    Hi,

    As Per NCCI edits, 88342 and 88341 does require the 59 modifier when billed with the 88360.

    Hope that helps!

     

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  • Posted by 13483 Venkataraman, 6 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.