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Pain Procedure Rejections

Quest ion:

Our facility is performing pain procedures and we are receiving rejections from Medicare on 64484 and 64483 from indicating we can only bill quantity of (1) for surgical CPT®s We are only billing one 64483 and 64484, however on of each under the facility and one under professional.

We have attempted to remove the anatomical modifier, XU, and 50 on the ones for 50. Do you have any suggestions as to why we are seeing this rejection, or if we are billing appropriately?Had you had other facilities inquire about the same rejection issue?

Answ er:

The solution offered in the message you shared from NGSis to roll up all the charges onto one line for revenue code 0761.

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