Revision of Colostomy

My doctor proformed an Revision of colostomy: with repair of paracolostomy hernia, he also used mesh implanation. I coded it 44346 with 49568, medicare denied 49568 due to related/qualifying procedural not billed--because 49568 is usually only billed with 49560-49566. Is ther anything else I should used or will this just be an write-off.


Thanks, Joey

Revision Colostomy

When my doctor does this procedure I bill as 44346, 49566-59 and 49568-59, this way the mesh cannot be denied and you get paid for both procedures the doctor did.