prallapalli
Contributor
Have question regarding appropriate modifier for this procedure. Pt had procedure 34203 on 12/01 (90 global) and then on 12/4 had procedure code 37184. Have added modifier 78/59 and insurance denied. Any suggestions.
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Wiki 37184 code
- Thread starter prallapalli
- Start date
37184
Modifier 78 is paid by the intraoperative precentage. Since 37184 has a zero global period there is no intraoperative precentage, so Modifer 78 will be denied. This is the same issue we are having. Any suggestions for getting these procedures paid would be greatly appreciated. Medicare is usually the carrier that is denying these procedures with Modifier 78. Thanks.
Modifier 78 is paid by the intraoperative precentage. Since 37184 has a zero global period there is no intraoperative precentage, so Modifer 78 will be denied. This is the same issue we are having. Any suggestions for getting these procedures paid would be greatly appreciated. Medicare is usually the carrier that is denying these procedures with Modifier 78. Thanks.