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The multiple surgery calculation for nasal endoscopy codes is changed when multiple nasal endoscopies are performed in the same session on the same day. For Calendar Year 2020, instead of paying the multiple surgeries at 50 percent, surgeons will be paid the difference between the fee for the procedure performed and the base code for […]
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Communication is essential to a smooth appeals process. Your practice was the subject of a special investigation unit (SIU) audit, and now the payer is asking for a refund. You have two choices: pay or appeal. If you disagree with the findings, the smart choice is to meet with the payer, appeal the findings, and […]
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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?