Does anyone know what modifer needs to go with cpt code 71271 (lung cancer screening thorax scan)?
-
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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Cpt 71271
- Thread starter brittanyf58@gmail.com
- Start date
SharonCollachi
Guest
Who are you billing for and why do you think it might need a modifier?
BCBS denied saying required modifier is missing. I already have modifier 26 on it.
SharonCollachi
Guest
Okay, but that wasn't my question. Who are you billing for? Are you billing for a technician that performed the scan? Is it a hospital department? Separate facility? Are you billing for a professional interpretation?
Was the ONLY denial "required modifier missing", or were there other denial/remark codes attached?
Was the ONLY denial "required modifier missing", or were there other denial/remark codes attached?
That was the only denial remarks . Billing for professional read only.
SharonCollachi
Guest
26 is the correct modifier as long as you're not billing for a facility. Perhaps it's the wrong denial code... have you checked the diagnosis to make sure it's a screening dx and not a diagnostic dx?