CCO Admin asked:
Are there corresponding HCPCS codes for these CPT codes? Codes 19350 and 19370 are for repair and/or reconstruction of the breast and this is for a Medicare/Medicaid account. These codes have been denied and Billing is asking for help from Coding. Thanks.
Answer:
These codes are most likely post mastectomy and require a modifier 58; staged procedure in order to get paid. If not; please let us know.
Are there corresponding HCPCS codes for these CPT codes? Codes 19350 and 19370 are for repair and/or reconstruction of the breast and this is for a Medicare/Medicaid account. These codes have been denied and Billing is asking for help from Coding. Thanks.
Answer:
These codes are most likely post mastectomy and require a modifier 58; staged procedure in order to get paid. If not; please let us know.
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