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Wiki CPT 29581-GP-RT-XS denied inconsistent modifier

RaeToll

Networker
Messages
54
Location
Bremen, GA
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United Healthcare denied a claim billed with CPT 29581-GP-RT-XS and 97597-GP and 97598-GP, stating "procedure inconsistent with the modifier used or a required modifier is missing". I have searched United Healthcare billing and coding guidelines as well as their modifier policy and outpatient physical therapy policy, and I cannot find any specific information regarding modifiers with CPT codes 29581 and/or 97597 and 97598. If anyone has had a similar issue and managed to find a solution, I would appreciate if you could share your findings or possible send me a link to the appropriate guidelines.
 
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