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Anesthesia Coding Alert

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Tracing 'Invalid Modifier' Denial With 01996

Published on Tue May 14, 2013

Question: Several of our payers (private and Medicare) are denying claims with 01996 due to “invalid/missing modifier” based on Novartis guidelines. We’ve searched the Novartis website but haven’t found documentation of this. What could be wrong?
Texas Subscriber

Answer: You could be dealing with an incorrect denial. Payers are accustomed [...]
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