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modifier 79

  1. L

    Wiki Humana Mod -79 Denial

    Hi, I have noticed denials from Humana on procedures billed with mod -79 performed during the global of another procedure. Commonly seen on cataract surgery done on the opposite eye during the global period of the first eye. Practice is also billing with laterality mods. For example, first...
  2. R

    Wiki Post op Modifiers

    If you have a post op cortisone injection (for the same body part as surgery) is modifier 58 the best selection? If so, do payers have specific policies for modifier 58? In the same sense, modifier 79 (unrelated) as well?
    • rakeley
    • Thread
    • modifier 58 modifier 79 modifiers postop
    • Replies: 1
    • Forum: Modifiers
  3. J

    Wiki -79 modifier inconsistent with CPT code 20526 ????

    Scenario: Patient in post-op for RIGHT carpal tunnel release is seen and given an injection into the LEFT carpal tunnel. I billed 20526, 79, LT and Medicare denied payment stating "The procedure code is inconsistent with the modifier used or a required modifier is missing"...
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