SMorris13
Contributor
Hello.
A patient came into the office following a fall and had an x-ray of the facial bones. We billed and E/M and 70510. We received a denial because the same procedure had also been performed by another facility not affiliated with our group. I am not sure if the patient had this x-ray done before or after her visit with us. We submitted a corrected claim with modifier 77, and it still as required modifier missing or invalid. The only thing I can think of is that the other facility billed using the 26/TC modifiers, while we did not.
Is there another modifier that could be used here?
A patient came into the office following a fall and had an x-ray of the facial bones. We billed and E/M and 70510. We received a denial because the same procedure had also been performed by another facility not affiliated with our group. I am not sure if the patient had this x-ray done before or after her visit with us. We submitted a corrected claim with modifier 77, and it still as required modifier missing or invalid. The only thing I can think of is that the other facility billed using the 26/TC modifiers, while we did not.
Is there another modifier that could be used here?