AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows:
99203 (M17.12) - PAID
73562-LT (M25.562) - RECOUPED/DENIED
73562-RT(M25.561) - RECOUPED/DENIED
We also have other claims that we billed different x-ray codes for bilateral areas with -LT and -RT that have recently recouped and denied. When we contacted AZ CCP for clarification we were advised to contact PaySpan due to denial indicates overpayment however the recoupment leaves a zero payment. Is this a coding issue with the -LT and -RT modifiers? I am wondering if we should be applying -50 modifier instead. Any advise will be appreciated. Thank you.
99203 (M17.12) - PAID
73562-LT (M25.562) - RECOUPED/DENIED
73562-RT(M25.561) - RECOUPED/DENIED
We also have other claims that we billed different x-ray codes for bilateral areas with -LT and -RT that have recently recouped and denied. When we contacted AZ CCP for clarification we were advised to contact PaySpan due to denial indicates overpayment however the recoupment leaves a zero payment. Is this a coding issue with the -LT and -RT modifiers? I am wondering if we should be applying -50 modifier instead. Any advise will be appreciated. Thank you.
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