TAVARGA70
New
Is anyone having issues with billing Modifier 78 for Aetna insurance? We billed a ESWL in January and we were paid, and then patient went back for another ESWL almost 3 weeks later that was unplanned and necessary. Aetna has denied the latter surgery as not allowed during a global surgery fee postoperative period. We have done reconsideration and appeal with every possible documentation to support the use do modifier 78 for this second surgery. They have now upheld denial at the Final Level response. Any information would be appreciated. Thank you