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Billing modifier 57 - Medicare is denying

Messages
7
Best answers
0
Can I use the 57 modifier, when a patient is seen for an OV, and have a cast applied on the same day? Medicare is denying our claims saying the modifier is incorrect.

Retha
 

mitchellde

True Blue
Messages
13,303
Location
Columbia, MO
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0
some payers want the 25 modifier on fx treatment when performed in the office setting. I know that it has a 90 day global however when you perform it in the office setting then the payer feels the 25 is more correct. That is the only thing I can think of given the information provided.
 
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