Mark Posted 1 Year(s) ago
When submitting a claim for the following diagnosis codes: S43.431D, M75.41, M19011 and using ASA codes: 01630 and 01716, is it ok to bill for both simultaneously? And what modifiers might be appropriate to use? Or, can we only claim/bill one of these ASA codes? Which to use?
SuperCoder Posted 1 Year(s) ago
As per NCCI Edits "For Medicare purposes, only one anesthesia code is reported unless the anesthesia code is an add-on code." So only 1 Anesthesia code would be reported. Bill the anesthesia code with the higher base unit value.
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