So I am looking for some advice...I recently have been getting claims denied as duplicates and the insurance is telling me to add the 76 modifier.
This is the scenario:
The patient had biopsies performed on the ileum, cecum, colon, rectum, sigmoid and all with the same end result of a polyp. All the specimans are labeled in the gross description to show each individual site.
These were then billed as:
88305 26
88305 26 59
88305 26 59
88305 26 59
88305 26 59
The insurance is now saying that they want the lines billed as:
88305 26
88305 26 59
88305 26 59 76
88305 26 59 76
88305 26 59 76
Is that correct??? I thought that as long as the 59 is on each line then why is there a need for the 76.
Thanks!
This is the scenario:
The patient had biopsies performed on the ileum, cecum, colon, rectum, sigmoid and all with the same end result of a polyp. All the specimans are labeled in the gross description to show each individual site.
These were then billed as:
88305 26
88305 26 59
88305 26 59
88305 26 59
88305 26 59
The insurance is now saying that they want the lines billed as:
88305 26
88305 26 59
88305 26 59 76
88305 26 59 76
88305 26 59 76
Is that correct??? I thought that as long as the 59 is on each line then why is there a need for the 76.
Thanks!