Julie Posted Mon 03rd of January, 2011 23:13:08 PM
I bill for a neurologist that is going to start interpreting purchased diagnostic radiology studies. I need to know if there is a modifier I need to use to show that the studies are purchased. He will be billing globally and paying the testing facilities for the studies.
I am also having to clarify for another biller, but if there is documentation somewhere I would love to have. When billing the NCVs, she is just adding a 59 modifier to the 95900 when billing the 95903 for the same nerves. For example, if the tech tested 4 95900 and 4 95903, she is submitting 4 95900 with a 59 modifier and 4 95903. Since I have been billing on the 95903, the new doctor that I just started billing for is now upset because he is being paid less than the other girl who bills, but she's billing incorrectly. I printed off the CCI, but all it says is a modifier would be needed if billed together. Is there any detailed documentation that I can show this doctor and biller that they are not two differnt procedures?
Thanks for your help.
SuperCoder Answered Tue 04th of January, 2011 18:56:13 PM
Rest assure. You are absolutely right in coding that way. Please refer to: