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re-52332 and 52352
Posted By chandra on 01-24-2007, 14:19:00 in Urology
Hi everyone
I need help with this please. Does anyone get Cigna to pay for 52352 and 52332 together?
Do you get reimbursement from anyone when filed together?

Thanks
chandra
Comments (15)
Comment
Posted By chandra on 01-26-2007, 13:00:00
Good morning and thank you for this information

chandra
Posted By Kathy on 01-26-2007, 12:54:00
The January Health Policy Brief published by the AUA has an article that says the 52332 CCI edit is going to be deleted when billed with 52320-52355. This may help as another arguement to use in appealing these denials we get. It was suppose to be effective January, but didn't make the deadline and will be effective April 2007 instead. Kathy
Posted By chandra on 01-26-2007, 01:18:00
You may be right. I use to get reimbursement from them and I promise you I have had this fight before but last year I had not luck so I am starting again.
Posted By chandra on 01-26-2007, 01:16:00
Thanks Merilee

Posted By MERILEE on 01-25-2007, 21:40:00
The AUA has a great appeal letter available if it's any help stating
that it is an "indwelling" stent and per CPT guidelines it should be
paid seperately.
I don't have any in our appeal files for the codes so they must be
paying or we haven't billed any to Cigna...

Merilee Pallack, CPC
Business Office Supervisor
Urological Associates Of Southern Arizona, PC
(520) 546-7141
Posted By chandra on 01-25-2007, 19:45:00
Thanks for the feedback. I will keep you posted.

Ch
Posted By Doris on 01-25-2007, 19:26:00
No, it is Care Choices.
Posted By chandra on 01-25-2007, 17:51:00
Doris is it Cigna?
Posted By chandra on 01-25-2007, 16:05:00
Yes I did but Cigna keeps denying, if everyone else is getting reimbursed, then I need to work a little harder on this.

ch
Posted By Christy on 01-25-2007, 14:04:00
Chandra did you append a modifier 59 to 52332?

Christy
Posted By C on 01-25-2007, 01:25:00
WHOO HOOO thanks

Cheryl Deacon, CPC, CCS-P

Director of Billing

Surgical Specialists of Oklahoma, PLLC

1000 W Wilshire Ste 220

Oklahoma City OK 73116

Phone: 405-242-2105

Fax: 405-848-2425
Posted By chandra on 01-25-2007, 01:21:00
Hi
Yes from Cigna
Posted By C on 01-25-2007, 00:20:00
From CIGNA ?

Cheryl Deacon, CPC, CCS-P

Director of Billing

Surgical Specialists of Oklahoma, PLLC

1000 W Wilshire Ste 220

Oklahoma City OK 73116

Phone: 405-242-2105

Fax: 405-848-2425
Posted By Doris on 01-24-2007, 15:59:00
We add a modifier 59 to the 52332 and get paid by most. We have one HMO that will not pay.
Doris K.

Posted By Tina on 01-24-2007, 15:36:00
We use 52352 and 52332-59-51 and get reimbursed

Tina Miller, CPC
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