benaxixon
Guest
Hi,
I kept getting denials for x-rays and procedures from 1000-6000 series for missing modifier.
I kept getting denials for x-rays and procedures from 1000-6000 series for missing modifier.
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Wiki Does anyone know modifiers needed for CalOptima?
- Thread starter benaxixon
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http://files.medi-cal.ca.gov/pubsdo...t=Part+2+–+General+Medicine+(GM)&wPath=N
That was a link-google search. 26-Professional, TC-Technical, ZS-Both Professional and Technical by the billing provider. The list goes on, but that's what I see.
That was a link-google search. 26-Professional, TC-Technical, ZS-Both Professional and Technical by the billing provider. The list goes on, but that's what I see.
- Messages
- 10
- Best answers
- 0
All surgical procedure codes require a modifier. The primary surgeon or podiatrist is required to use AG on the only or highest valued surgical procedure code (10000-69999) being billed for the date of service. This does not include codes that require split bill modifiers. That is also in the link I posted above under Surgery: Billing with Modifiers. I think that information could help lead you in the right direction. Good luck! 
benaxixon
Guest
wow. Thanks. Let me try that. I been billing for professional and TC modifiers for xrays to but those got denied. Is there are another modifier I can use? Thanks
tammster
Guru
ZS is the modifier for the xray (full global package)