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Immunosuppressive Therapy

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  • mandybcoder
    I am the coder for a small pancreatic and kidney transplant specialist clinic. Medicare recently has been denying follow-up visits within the 90-day window of
    Message 1 of 4 , Aug 8, 2005
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      I am the coder for a small pancreatic and kidney transplant specialist
      clinic. Medicare recently has been denying follow-up visits within
      the 90-day window of a transplant for immunosuppressive therapy. I
      use a modifier -24. Any suggestions on getting those follow-ups paid?
      Thanks,
      Mandy Buck, RHIA
    • Helen L. Avery, CPC
      appeal with the section from the medicare carriers manual that specifically says immunosupressive therapy is separately payable. If it continues to be a
      Message 2 of 4 , Aug 8, 2005
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        appeal with the section from the medicare carriers manual that specifically says immunosupressive therapy is separately payable.  If it continues to be a problem contact the LPET people in writing with examples.  Are you using V07.2 as your primary dx?

        mandybcoder <mandybcoder@...> wrote:
        I am the coder for a small pancreatic and kidney transplant specialist
        clinic.  Medicare recently has been denying follow-up visits within
        the 90-day window of a transplant for immunosuppressive therapy.  I
        use a modifier -24.  Any suggestions on getting those follow-ups paid?
        Thanks,
        Mandy Buck, RHIA



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      • Michelle Uhl
        just curious.. what DX are you using with these charges? mandybcoder wrote:I am the coder for a small pancreatic and kidney transplant
        Message 3 of 4 , Aug 8, 2005
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          just curious.. what DX are you using with these charges?

          mandybcoder <mandybcoder@...> wrote:
          I am the coder for a small pancreatic and kidney transplant specialist
          clinic.  Medicare recently has been denying follow-up visits within
          the 90-day window of a transplant for immunosuppressive therapy.  I
          use a modifier -24.  Any suggestions on getting those follow-ups paid?
          Thanks,
          Mandy Buck, RHIA



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          Tired of spam? Yahoo! Mail has the best spam protection around
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        • mandybcoder
          Primary code is V58.83, second is 279.19, and third is V42.0 ... pancreatic and kidney transplant specialist ... paid? ... Service.
          Message 4 of 4 , Aug 9, 2005
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            Primary code is V58.83, second is 279.19, and third is V42.0

            --- In MedicalBillers@yahoogroups.com, Michelle Uhl
            <muhl4groups@y...> wrote:
            > just curious.. what DX are you using with these charges?
            >
            > mandybcoder <mandybcoder@y...> wrote:I am the coder for a small
            pancreatic and kidney transplant specialist
            > clinic. Medicare recently has been denying follow-up visits within
            > the 90-day window of a transplant for immunosuppressive therapy. I
            > use a modifier -24. Any suggestions on getting those follow-ups
            paid?
            > Thanks,
            > Mandy Buck, RHIA
            >
            >
            >
            >
            >
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