Is there anyway to indicate that a diagnostic bone density was more complex and required additional time? Other than a modifier 22?
Thanks in advance for any information
Thanks in advance for any information
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Tag Archives: Density
77080-26 Bone Density Interp. Denying Palmetto GBA
77080 with modifier 26 for interp. is denying through Palmetto GBA with denial code- N130-Consult plan benefit documents/guidelines for information about restrictions for this service. I can’t find anything on CMS on why this is denying. Our physician’s file the interp. only and hospital files the TC portion. Does anyone know of any reason these would be denying? Has the benefit changed on these??/ Any help will be appreciated.
bone density test prior to treatment for breast cancer
Our oncologist likes a bone density prior to starting therapy for breast cancer. It is recommended on the NCCN guidelines to get a baseline bone density test before starting an aromatase inhibitor and periodically thereafter. What diagnosis code would we use for this particular bone density – Would it be a screening or is there something else because of the breast neoplasm? thank you in advance.
CPT 77080 Bone Density PLEASE HELP!!!!
I need help with billing Bone Density Studies please. Below is how my physician is billing the Bone Density and I am receiving denials.
CPT 77081
CPT 77080 -59
CPT 77080 -59 -76
The first 2 lines are paying and the last line gets denied. What I don’t understand is that in the past years 2014,2015 & 2016 and the beginning of 2017 they would pay all my claims but now the last charge line (77080 -59 -76) is being denied. I have looked everywhere and I cant understand why these claims either paid or denied. PLEASE HELP!!! Thank you in advance for all your help!! 😮