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Medicaid questioning use of 31624 and 31615 together-

Mary Posted Thu 01st of March, 2012 16:18:46 PM

Coded a bronchoscopy that was 31624 and 31615 using modifier of 59 on 31624-we have received word from Medicaid that "31624 was incidental to 31615" and therefore they would not accept both-has anyone else experienced this and just wondering whether just to bill the 31624-would appreciate any input! Thanks

SuperCoder Answered Thu 01st of March, 2012 17:44:38 PM

If Medicaid is denying 31624, I would suggest to go with 31615 only as per coding standards which will include bronchoscopy.

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