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Otolaryngology Coding Alert

You Be the Coder:

Can You Find This Modifier Mishap?

Published on Tue Dec 14, 2021

Question: Our otolaryngologist submitted an inpatient hospital visit code (99223) with modifier 57 appended, in addition to the surgery code(s). Medicare denied these codes stating the allowance was included in another procedure, and pre-op care was included in the allowance of the surgery. What are we doing wrong? Tennessee Subscriber Answer: The problem could be your modifier. Make sure the [...]
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