Donna Posted Tue 07th of June, 2016 11:31:50 AM
I am having trouble billing the following codes 11000, 17000 and 17003 together to Medicare. We are trying to bill 17000 (dx 702.0) and 17003 (dx 782.0) and last 11100-59 (dx 238.2). Please advise if this is correct?
SuperCoder Answered Wed 08th of June, 2016 01:21:07 AM
As for the scenario mentioned, CPT 17000 (dx 702.0) and 17003 (dx 782.0) and last 11100-59 (dx 238.2) seems to be correct. According to CCI edits, there is a conflict between the CPT codes 17000 and 11000. Hence , we have to append modifier to 11100 to override this relationship. Thus, modifier 59 seems to be appropriate for this scenario.
Please check your documentation once, before billing.
Hope this Helps.