Wiki Denial

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kvogel03

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Flint, MI
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Hi,

I have a scenario 92928 LD, 93458 26 59,93571 LD. Meridian Medicare Advantage is denying for the 93458 26 59 and 93571 LD. I am not sure why they are denying it. Any suggestions? Do you need another modifier? Or need to write an appeal letter ?

Thanks,

Kayla
 
Ok, Thanks. So, I have never replaced 59 with XU before. Can you explain more on why to use XU modifier in this situation ?
 
they didn't give you any reason for denying it?...like it was bundled or something?...if not I would not try to figure it out I would call the payer to get specifics...
 
They are saying it is denying because 93458 denied inclusive and 93571 inconsistent w modifier and missing/ incomplete HCPCS.
 
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