Forum - Questions & Answers
Denials for 64483, 64484
I am billing for a Pain Management Provider. Came across so many denials from medicare for CPT® codes 64483, 64484. I billed 62290-3 Units(51), 72295-3 Units(26) (59), 64483 (50) (59), 64484(50) to medicare on a same day. Got payment for 62290, 72295 and denial for 64483, 64484.
Reason for denial for 64483 is "CO-B15, M80 (THIS SERVICE\PROVIDER REQUIRES THAT A QUALIFYING SERVICE/PROCEDURE BE RECEIVED AND COVERED)"
For 64484 is "CO 107 (RELATED OR QUALIFYING CLAIM/SERVICE WAS NOT IDENTIFIED ON THE CLAIM"
What should I do to get rid of this denial and get payment for 64483 and 64484????
Place of service is 22
Any Help would be greatly appreciated...............
re: DENIALS FOR 64483, 64484
Maybe the mod59 needs to be first on CPT® 64483. The only reason why 64484 is not paying is because 64483 denied. Looks like effective 10/1/12 mod59 is not allowed 64483 is inclusive of 62290.