gherimicheleCPC
Guest
I am going crazy. I'm in California and just recently Medicare has started to deny all procedures with a 51 modifier. Some of the girls are just resubmitting them with a 59 modifier. For example a pt presents with SOB, COUGH and CHEST PAIN. DX. ARE 465.9, 786.2, 786.05 AND 786.51. The CPT codes are billed originally as 99213-25 , 94060, 94640-51 and 93000-51.
They pay the OV and 94060 and deny the 94640-51 and 93000-51 with denial code CO4 (The procedure code is inconsistent with the modifier used or a required modifier is missing.) Do I just bill the procedures with no modifiers?? This has never happenned before. PLease Help
They pay the OV and 94060 and deny the 94640-51 and 93000-51 with denial code CO4 (The procedure code is inconsistent with the modifier used or a required modifier is missing.) Do I just bill the procedures with no modifiers?? This has never happenned before. PLease Help