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Reimbursment for modifier 78

SuperCoder Posted Thu 23rd of April, 2015 16:43:19 PM

I billed BC 29819.78 & 29821, they denied 29819.78 as bundled. It is not bundled with 29821, however it is bundled with the original surgery 29823. Can they bundle surgeries done on different days?

Thank you

SuperCoder Answered Fri 24th of April, 2015 06:46:10 AM

As per the coding guidelines, these codes can be billed together and should not get bundled. Since this was an unplanned return in the post operative period for removal of foreign body, modifier 78 has been correctly applied. You need to check with your insurance company for the reason of the denial. Thanks...

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