Advanced Search

Oncology & Hematology Coding Alert

Reader Question:

Consult This Medicare NCD for Correct PET Scan Modifier Use

Published on Wed Oct 25, 2023

Question: I received a Medicare claim rejection for 78816-PI, citing inconsistent modifier or required modifier is missing. The physician order reads, “72-year-old male with high-risk prostate [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All