UCR 195: FAQs - 99459 who's not paying; MUEs for J codes; PCR billing for a rectal swab?
May 17, 2024
Mark, Ray, and Scott discuss FAQs that came into the PRS Network Community.
- Are there payers not paying for 99459?
- Hello, the max units for J2704 is 80. I have searched and searched and can't figure out how to bill additional units if more than 80 units is administered. I have tried modifier 59 and my claim was still denied. Any help would be greatly appreciated.
- Can we bill 13 units for 87798 for UTI PCR and Rectal swab PCR?
Would charging 87801 be better for rectal swab PCR? VS 87798
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