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Post Op Pain Reimbursement – Payment for 76942 (x2) when billed with 64447 & 64448
Modifier 26 is added to each CPT 76942 item listed separately on each line.
98% of the time, both 76942 codes are denied; 1 with denial code CO-151 (..excessive amt/frequency of services not supported) and the other with denial code OA-18 (duplicate services).
They are then submitted for reconsideration with the result being that only 1 pays and the other denies as a duplicate.
2 images are submitted for the 2 sites, however, the provider does his dictation for both procedures on the same procedure note.
I am looking for advice on how to get the 76942 codes to pay for both without having to appeal or suggestions for documentation to submit for successful appeal for both USG’s.
Question: What is the correct way to bill for TWO CPT codes 76942 (Ultra Sound Guidance) with 64447 (Adductor canal single shot injection for a pain block) and
64448 (Adductor canal continuous catheter pain block) when performed on a single patient?
Question: Do additional modifiers need to be submitted along with the modifier 26?
Thank you for your assistance.
76942- Pain Specialist Group
I cannot wrap my head around the appropriate way of billing 76942 along with cpt codes 20552 + 20553.
We are doing an 20552/20553 injection in place of service 11. We have been receiving denials on 76942 from BCBS, Medicare, etc…
According to the cpt code book, 76942 can be reported with 20552/20553.
Are there any specific guidelines to 76942 and 20552/20553? Does it require medical necessity or a modifier on 76942?
76942 with regional anesthesia (not post-op pain block).
76942 with regional anesthesia (not post-op pain block).
Thanks
76942 for orthopedic
Thank you
99214 with 76942
64450 and 76942
Thank you.
Anna, CPC-A
76942 permananent recording & stored
I had it before from Dr. Z & probably CMS but I cannot find it & I need it ASAP.
Thanks….