I received a denial for "modifier missing or inconsistent w/proc" for CPT 59025. A modifier wasn't billed with this CPT and I am unable to identify which modifier needs to be added. POS is Office. Insurance is Commercial.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 59025- Missing Mod Denial
- Thread starter alayna.wallace@yahoo.com
- Start date
Anastasia
Guru
A modifier is usually not required when the NST is done in the office. If it's done in the hospital then you'd use a 26. Is the diagnosis correct? I would call the insurance to question this.
trish.mccoy@tuomey.com
Contributor
agree with the above answers ... ^ 