group billing H2035

Marcus Blue 1 year ago in Billing/Electronic Modules updated by LaVonne James 1 year ago 2

We are looking into modifying our billing practice to bill three separate groups (same patients in each group) in one day and having difficulty getting paid using code H2035HQ.   Is there a different modifier we shoud be using?  Not sure what we are missing? Please help!

You may have to combine those units for each group since you can only bill one service per day per client.  One service line with the total number of units.  You can only bill 10 units per day.  I haven't heard/seen that there is another modifier.

There is a setting in the payer to combine same codes and staff, this would bill one line, same code, 3 units for example. We usually do 4 groups per day, per person.