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We received a denial from Medicare S. Dakota because we added a 53 modifier to the Anesthesia code. Never knew this was the case. Has anyone had this problem before? If so what did you do to get the claim paid? Thanks..
Our local carrier does not want the 53 modifier. They say they can tell the service was discontinued by the anesthesia time. I question the accuracy of that statement but if we want to get paid, we don't use it. We do use the V64.x dx codes though.