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99144 bundled with 64483

Shannon Posted Tue 14th of February, 2012 16:28:58 PM

Submitting 64483 doctor also performed 99144 insurance denying. Does 99144 need a modifier?

SuperCoder Answered Tue 14th of February, 2012 18:02:05 PM

CCI edits don't bundle 64483 and 99144, which means you shouldn't need a modifier. But patients don't normally need moderate sedation before receiving the injection. Check your provider's documentation supporting the reason for moderate sedation, and check the policies for the payer in question.

Another idea -- verify the type of imaging guidance your provider used. Code 64483 is for flouro or CT guidance. If your physician used ultrasound guidance, you should report 0230T instead.

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