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bcbs modifier denial

  1. E

    Wiki Modifier 55 NIGHTMARE

    Can anyone please tell me how to get a claim paid when using modifier 55? We had a patient who came in as post operative management care after having ORIF on tibia out of state. According to Medicare guidelines you are to bill the procedure using date of procedure with modifier 55 and place of...
  2. L

    Wiki BCBS denying mod 59 on vaccine administration code 90471

    Recently, we have gotten several denials from various BCBS plans for modifier 59 on vaccine administration code 90471. The remark code says "procedure modifier was invalid on date of service". One patient called BCBS and was told modifier 59 is invalid on this service. Is this a glitch within...
    • Lynnctodd
    • Thread
    • bcbs modifier denial modifier 59 modifier 59 denial
    • Replies: 1
    • Forum: Modifiers
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