bonnienorth55
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Hello, I have a question for anyone who can help regarding billing a vaginal delivery 59400 to Medicare with modifier 22. We billed it out with mod 22 attached since primary dx is O09.523 for elderly pregnancy and got this SMARTEDIT rejection back: "SMARTEDIT PATTERN 26411 MODIFIER 22 IS NOT APPROPRIATE FOR PROCEDURE CODE 59400 PER MEDICARE GUIDELINES"
I can't find anywhere in their guidelines explaining why we cannot bill a global vaginal delivery with that mod. Any information is greatly appreciated, thank you!
I can't find anywhere in their guidelines explaining why we cannot bill a global vaginal delivery with that mod. Any information is greatly appreciated, thank you!