Sandeep Posted Tue 11th of September, 2018 07:09:03 AM
We have billed 95910 - RT, 95910 - LT, 95886 together. Medicare denied the claim stating that 'frequency billed is incorrect'. State is Georgia. Please guide which is the correct way to bill.
SuperCoder Answered Wed 12th of September, 2018 02:34:13 AM
Please note that the claim has been denied due to the following reasons :
1) CPT code 95910 can be reimbursed only once per nerve, or named branch of a nerve, regardless of the number of sites tested or the number of methods used on that nerve. For instance, testing the ulnar nerve at wrist, forearm, below elbow, above elbow, axilla and supraclavicular regions will all be considered as a single nerve.
2) CPT code 95910 is not eligible for RT/ LT and 50 modifier. Since the test is performed once per nerve, irrespective of the areas tested, the code can be billed only once (per nerve).
Please feel free to ask further questions.