mackeyjean
New
Hello,
Noridian Admin Serv is my Medicare carrier.
Since 02/19/13, all procedures billed to Noridian for our Physician Assistant's have been denied with CO4. (The procedure code is inconsistent with the modifier used or a required modifier is missing.) An example would be 99213-25 with 17004 and dx code 702.0. The office charge is processed. 17004 is immediately denied for a missing modifier. As you are aware, there is no missing modifier.
Upon receiving the first denial I contact Noridian for explanation. They swear a fix is in place, however I am now up to 192 procedures denied.
Is anyone else having the same problem? Am I missing something that changed?
Noridian Admin Serv is my Medicare carrier.
Since 02/19/13, all procedures billed to Noridian for our Physician Assistant's have been denied with CO4. (The procedure code is inconsistent with the modifier used or a required modifier is missing.) An example would be 99213-25 with 17004 and dx code 702.0. The office charge is processed. 17004 is immediately denied for a missing modifier. As you are aware, there is no missing modifier.
Upon receiving the first denial I contact Noridian for explanation. They swear a fix is in place, however I am now up to 192 procedures denied.
Is anyone else having the same problem? Am I missing something that changed?