Wiki 97605 - use this code

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graceroni13

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So I keep getting denials pretty much every time I use this code and it's for invalid modifiers????? All I'm putting is RT/LT. I'm getting so sick of these denials but nobody can give me an answer on what I'm SUPPOSED to be doing....


Help???
Thank you
 
Upon searching 97605 on the AAPC Coder - RT/LT are not on the allowed modifier list. I would try not putting RT/LT and see if they pay. The allowed modifers for this CPT code are:

52 Reduced Services
53 Discontinued Procedure
59 Distinct Procedural Service
76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
77 Repeat Procedure by Another Physician or Other Qualified Health Care Professional
78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period
79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period
80 Assistant Surgeon
81 Minimum Assistant Surgeon
82 Assistant Surgeon (when qualified resident surgeon not available)
99 Multiple Modifiers
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GA Waiver of liability statement issued as required by payer policy, individual case
GN Services delivered under an outpatient speech language pathology plan of care
GO Services delivered under an outpatient occupational therapy plan of care
GP Services delivered under an outpatient physical therapy plan of care
GZ Item or service expected to be denied as not reasonable and necessary
XE Separate encounter
XP Separate practitioner
XS Separate structure
XU Unusual non-overlapping service
 
OH MY GOODNESS!!!!!! SO helpful!!! You have no idea how much I appreciate it :)

Thank you so much hamlinr2005.
 
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