Billing CPT Codes 92611 and 74230 Same Day: Update

February 24, 2020
Rick Gawenda

The Centers for Medicare and Medicaid Services (CMS) and Capital Bridge, LLC, who is the National Correct Coding Initiative (NCCI) contractor, has informed the American Speech-Language-Hearing Association (ASHA) that they will change the modifier indicator for when CPT codes 92611 (Motion fluoroscopic evaluation of swallowing function by cine or video recording) and 74230 (Radiologic examination, swallowing function, with cineradiography/videoradiography) are billed on the same date of service by the same provider. CMS will now assign a modifier indicator of

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  1. Has there been any update or information concerning 74230, 92611, MBS, Modified Barium Swallow, modifier 59, speech therapy. Medicare is currently not remitting payment for both services on the same day. The claim was submitted with the Mod 59 attached to the Radiology charge.
    Thank you for any advise

      1. Is there a MLN matters, or announcement for this? We are fighting with BCBS as they are only going back to April for reprocessed claims, not 12/31/2019.