Special situation for this particular code our office bills fairly often with no issue.

Back story: Pt is in 90 day global for surg and has bilateral indwelling stents and is set up for a post op apt to have both removed. During the removal the RT side becomes lodged and unable to remove. Doctor decides to take pt to OR to have the remaining stent removed.

We billed POS 11 (office) and 52310 with mod 58

AND POS 24 (surgery center) with code 52310 mod 78, XE, RT

The POS 24 was paid and the office billing denied for inappropriate place of service.

HOW DO I FIX THIS SO WE CAN GET PAID FOR THE OFFICE STENT REMOVAL?

Has anyone had this happen in their office and got paid? If so how? Or any suggestions?