I received a denial for "modifier missing or inconsistent w/proc" for CPT 59025. A modifier wasn't billed with this CPT and I am unable to identify which modifier needs to be added. POS is Office. Insurance is Commercial.
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Wiki 59025- Missing Mod Denial
- Thread starter alayna.wallace@yahoo.com
- Start date
Anastasia
Guru
A modifier is usually not required when the NST is done in the office. If it's done in the hospital then you'd use a 26. Is the diagnosis correct? I would call the insurance to question this.
TrishMcCoy2
Contributor
agree with the above answers ... ^ 