36620 denial

Hello Everyone

I have a question

We billed following codes with POS 21:
99291 25
99292 25
31500 59
36620 59
36556
76937 26 59

36620 got denied from Humana. Can someone please help me if these all are billable together or if we need to add some other modifier If we need to add another modifier then what modifier should we add.

All of your help would be really appriciated.

thanks
Asif

re: 36620 denial

Asif,

I'm having the same issue. Mine is with Medicare. 99291-25, 31500, 36620,76937 were billed with place of service 21; when I called Medicare they stated that the 76937 could not be billed with inpatient and was only allowed outpatient. This should be getting paid with inpatient critical care. It is not bundled.

If anyone has an answer to our little issue here, please let us know. With so many being done especially on the elderly and severely dehydrated, we need to be reimbursed.

re: 36620 denial

Are you billing the 76937 with a 26 modifier.? If we bill the 76937 we must use a 26 for professional fee only when patient is inpt becasue the hospital owns the equipment.