Forum - Questions & Answers
Apr 28th, 2016 - ent330w
Denied for Incidental
I am an ENT coder/biller and we have been denied for our last line item CPT® code 31240.
This is how it appears on the claim:
4. 31240-50-51---Denied for Incidental
In looking this up on Encoder Pro, I am showing that these codes do not have NCCI edit issues.
Can you tell me how to appeal (what documentation) you would suggest?
re: Denied for Incidental
My guess is because both 31254 and 31240 are nasal sinus endoscopy surgeries. I would appeal and clearly define where both sections are located and that you used mod 51 to show that this is a multiple procedure.