Wiki prostate biopsy denial

[nkorab]

Recently, medicare (Noridian) has been denying part of our prostate biopsy code- 76942.
I am not sure if we now need to add a modifier, and if so which one?

Anyone else have this happen to them?
Suggestions?
Thanks
Nancy K

 

[JEYCPC]

There is a CCI edit this quarter. Add the 59 modifier to 76942. Hopefully this will be fixed 10-1-16.

 

[nkorab]

thank you-
I will try it.
Nancy K