Wiki Medicare denial for 88305 and 88342

[marina@medibright.com]

I got denial for 88305 and 88342 from Medicare. According to remittance advice modifier(S) was missing. Do I need to apply modifier 59 to 88305? I am confused I did not know that any modifier needed for those codes.

 

[CodingKing]

Modifier 26?

 

[marina@medibright.com]

our Dermatology group owes Dermapathology lab, and modifier 26 is not applicable in this case. I was thinking about 59 or 76; but i have only one procedure for surgical pathology and one for stain.

 

[VickiS]

I don't use a modifier when billing 88305 and 88342, is there just one unit of each or are you billing Medicare hospital inpatient or outpatient?