Rebecca Pate
Networker
I am billing 11981 and J7307 for insertion of Nexplanon, and insurance is denying stating 11981 needs a modifier. There are no CCI edits, and I have no idea what modifier might be called for. Help please!
No as the procedure is the same no matter which arm you use and you would never insert in both arms so no differentiation would be required.Would a laterality modifier be needed Lt or Rt based on which arm it is inserted???