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tc modifier

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Wiki Acupuncture denials from Medicare for "frequency"

We are providing acupuncture in a hospital-based outpatient department. Both the physicians and the hospital are getting denials due to "frequency" when the patient has not exceeded the max limit of 20 visits in an 11 month period. Is anyone else experiencing this? Neither the pro fees or...
- ctobin01
- Thread
- May 9, 2023
- acupuncture frequency denial tc modifier
- Replies: 1
- Forum: Billing/Reimbursement
K
Wiki 26 and TC modifier

I work for a pain management physician who also owns an ASC where he performs some of his procedures. I an responsible for the coding for his practice and the ASC and need some help on this. If he perform a 64490 in the ASC do I append the TC modifier to the claim for the ASC and then for his...
- kreis17
- Thread
- Jan 19, 2019
- 26 modifier asc modifiers tc modifier
- Replies: 4
- Forum: Medical Coding General Discussion

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