You Be the Coder:
Append Modifier 52 With Caution
Published on Thu Dec 13, 2018
Question: The physician performed electroencephalograpy (EEG) video monitoring on a patient for three hours and interpreted the results. I reported 95813 for this service but our payer denied it, explaining that the documentation does not support the code I reported. Can you please help me understand why this claim was denied? Ohio Subscriber Answer: You would not be correct to [...]