Revenue Cycle Insider

Primary Care Coding:

Rely on This Modifier for Gender Mismatch

Question: A provider prescribed a patient a retinoid, which requires a urine pregnancy test (UPT) for female patients. The patient was born female and legally changed their gender, including registering the change with their payer, Medicaid, but the UPT claim was denied due to a gender mismatch (UPTs aren’t required for male patients). Is there a way for us to [...]
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