Forum - Questions & Answers

Feb 6th, 2012 - LesBry0682 1 

Lumbar Spine Fusion with Modifier 62

Our claim denied for frequency due to the primary surgeon billed with CPT® 22558-62 and it paid as a professional claim. Our group billed the same coding. How can I get this claim to not hit edits with the carrier? Do I put a modifier 51? Please advise. Thanks

Feb 6th, 2012 - nmaguire   2,606 

re: Lumbar Spine Fusion with Modifier 62

This should pay for each surgeon if different specialty

Feb 6th, 2012 - LesBry0682 1 

re: Lumbar Spine Fusion with Modifier 62

I will submit a appeal. I wondered why the claim denied when it's a different practice/Tax ID. Thanks.

Feb 6th, 2012 - nmaguire   2,606 

re: Lumbar Spine Fusion with Modifier 62

They have to be different specialty designations (ex, ortho and neurosurgeon)



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