Need your help, please! 36556 billed twice on the same day by two different specialty Doctors, denied as duplicate, do you think a modifier is needed?
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Tag Archives: 36556
36556 billed twice by different Providers
Need your help, please – two 36556 services were billed on the same day by different specialty providers, denied for duplicate. Do you think a modifier is needed?
Using E/M codes or CC cpt with 36556 and 31500 for Medicare PROBLEM!
Good evening!
I am hoping for some help on this. I am billing for a pain management doctor/anesthesiologist that goes to the hospital and will see a patient earlier in the day (E/M Codes- 99233/99232/99223) and then insert a catheter (36556) later on in the day (or vice versa) OR he will do an emergency intubation (31500) along with 99291 (critical care code). BOTH of theses combinations are getting denied for Medicare in the clearinghouse although I have switched around modifiers 25 and 59 on each code for each "set". Any advice on billing these codes together?? I understand that normally 99223 and 36556 are bundled but technically the physician doesn’t perform these at the same time. HELP!
Thanks,
Cora B.