KATHERINE Posted Wed 19th of August, 2015 15:53:11 PM
hi there. we have billed 11300 on a patient which we saw on the same day by same doctor. the lesions were all located on the back and 0.5cm. there were 4 lesions. we are getting repeated denials by mey,dicare for duplicate submission.
Originally was billed like this: 11300x4 units and denied for too many units on same patient in 1 day.
claim rebilled after denial and sent out like: 11300x1, 11300x1, 11300x1, 11300x1 with 59 modifier on last 3. this got denied for code 18, exact duplicate claim/service.
claim then rebilled with 11300x1, 11300x1, 11300x1, 11300x1 with last 3 having xs modifier and got denied again.
SuperCoder Answered Thu 20th of August, 2015 00:49:37 AM
Bill in this way. 11300x1, 11300-51x1, 11300-51x1, 11300-51x1.