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Billing 23605 and 20690 together?

Kelly Posted Mon 01st of February, 2016 17:00:41 PM


Our provider gave us two codes to bill for the same date of service on a patient 23605 and 20690. We billed the codes as 23605 and 20690-51. The 20690 was denied by Medicare saying "Not covered when performed during the same session as a previous service" and "Payment adjusted:svce/proc requires qualifying svce/proc received."

Should we be using a different modifier? Can these codes be billed together under certain circumstances?

Thank you,

SuperCoder Answered Tue 02nd of February, 2016 03:37:17 AM

CPT code 20690 bundles into CPT code 23605, but a modifier is allowed to override this relationship.

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