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Global Post-Op Service denial by NJ BCBS
I Billed out a claim for $371.94 with 3 CPT's on it. CPT® - 29550 with Modifier 79 & RT, CPT® - 99214 with 24 Modifier & CPT® - 73620 with RT modifier. BCBS of NJ has re-imbursed 73620 & 29550 denying CPT® - 99214 as inclisive.... And for the future dates billed they are denying 99213 & 99214 stating Post-operative procedure which is included in 29550. Can anythin can be done to get all the o/v codes paid.
Provider's speciality is Podiatry.
Kindly Advice.
Thanks in Advance!!!
Frank Nikolaus
re: Global Post-Op Service denial by NJ BCBS
What was the first procedure performed for which this is the global period? 29550 has 0 global days ,but if you're in the global period for another procedure, the E/M's won't be paid.
re: Global Post-Op Service denial by NJ BCBS
These were the DOS's and codes that were billed for this patient... How can we check which code is global/.............
12/29/2011 99214
10/31/2011 99214
10/31/2011 99214
10/31/2011 73620
10/31/2011 29550
10/31/2011 73620
10/31/2011 29550
10/31/2011 73620
10/31/2011 29540
10/31/2011 73620
10/31/2011 29540
10/4/2011 99214
9/1/2011 99214
8/22/2011 99213
8/17/2011 99213
8/12/2011 99213
8/5/2011 73620
8/5/2011 99214
8/5/2011 29550
7/22/2011 73620
7/22/2011 29540
6/24/2011 99214
re: Global Post-Op Service denial by NJ BCBS
THERE SHOULD BE UNRELATED icd TO BILL ENM IN POSTOPERATIVE PERIOD.