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Wiki Assist for C-Section Modifier

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cmbizpro

cmbizpro

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Location
Bosque Farms, NM
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One of our Certified Nurse Midwives assisted with a c-section and Medicare denied it saying they don't pay for our level provider for this procedure. Contacted Medicare who said it denied because of the modifier used. Billed out the appropriate code 59514 with modifier AS. After research about the 80 modifier I believe we can not use 80 because they are CNM's, that's why we used AS as the modifier.

Can anyone give me some guidance? Thank you:confused:
 
Just a thought, could it be that normally women on Medicare are not of childbearing age? Is that throwing them off.?
 
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