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Wiki Humana denied code 98943 because of inappropriate modifier

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pattylg602

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Humana has been denying charges for inappropriate modifiers for PT charges codes like 97110 or 97140 and now also for 98943 (chiropractic extraspinal adjustment). For the PT charge codes, I was able to find that Humana wants modifiers 96 or 97 instead of Medicare's GP modifier. 97 is working to get those charge lines paid. I can't find any information on what they want or don't want for 98943. I used AT (acute condition) and XS (separate structure). It was billed with the spinal adjustment (98940 AT). The only article I can find seems to be saying to use 59 instead of XS. Does anyone here know for sure what they are wanting?
 
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