• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier for 62328

Messages
5
Location
Greenwood, SC
Best answers
0
I got a denial from Medicaid saying cpt code 62328(spinal puncture) needs a modifier. Do you know what modifier they are talking about?
 
It isn't a bilateral procedure so a 50 or RT/LT wouldn't be required. Was it done with an E/M visit? Perhaps it needs a 25 modifier if it was a separate, distinct procedure from the E/M visit. If it was done with other procedures, perhaps it needs a 59 modifier. Did you check to see if it was hitting NCCI edits?
 
Top