DecisionHealth, DecisionHealth - 2016 Issue 12 (December)

Mind your modifiers: Avoid denials — don’t overlook MUEs when you bill for bilateral services

Question: Medicare is denying 64640 (Destruction by neurolytic agent; other peripheral nerve or branch) when we report the service bilaterally at three levels. We’ve tried coding the service on three lines with 64640-50; 64640-50, 59; 64640-50, 59. We’ve also tried coding on a single line with 64640-50 x 3. Both times the claim was denied with remittance advice code M53 (Missing/incomplete/invalid days or units of service). Can you explain why we’re getting this denial?

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