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bcbs

Rana Posted Mon 21st of October, 2019 08:13:08 AM
i billed dos 2-26-2019 codes 66982 with 65875 51 they only paid for 66982, i sent back cc and put 59 mod on 65875 it still denied any ideas
Rana Posted Mon 21st of October, 2019 08:22:55 AM
i billed to bcbs 66982, 65420 51, and 65875 51. they paid #$291.84 on 65420 but now they are recouping. 0n 65875 they paid 492.10 but also they are recouping. what is the correct way to bill these codes, please help.
SuperCoder Answered Tue 22nd of October, 2019 06:12:50 AM

Hi Rana,

 

Thanks for your question.

 

There is CCI edit between codes 66982 and 65875 where 65875 is a column 2 code, which means it may be reported with modifier 59 when performed on separate eye. But if both procedures are performed on the same eye, then code 65875 cannot be reported with 66982.

 

Moreover, please let us know the reason given by the payer due to which the payer is recouping the payment.

 

Please feel free to write if you have any question.

 

Thanks

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