ALEX007
Contributor
Good morning,
I have a situation.
The claim was billed to Medicare as follows:
J9299 200mg
J9299 40mg
Medicare paid the 40mg and denied the J9299 200mg as duplicate.
The drugs were in x2 separate vials (x2 NDC). Per a convo held with Medicare, I was advised to append a modifier on the 200mg.
If so, which modifier should I append? In summary, how should I resubmit the 200mg so that Medicare would reprocess and issue payment?
Thank you in advance.
I have a situation.
The claim was billed to Medicare as follows:
J9299 200mg
J9299 40mg
Medicare paid the 40mg and denied the J9299 200mg as duplicate.
The drugs were in x2 separate vials (x2 NDC). Per a convo held with Medicare, I was advised to append a modifier on the 200mg.
If so, which modifier should I append? In summary, how should I resubmit the 200mg so that Medicare would reprocess and issue payment?
Thank you in advance.