Does anyone know what modifer needs to go with cpt code 71271 (lung cancer screening thorax scan)?
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Wiki Cpt 71271
- Thread starter brittanyf58@gmail.com
- Start date
SharonCollachi
Guest
Who are you billing for and why do you think it might need a modifier?
BCBS denied saying required modifier is missing. I already have modifier 26 on it.
SharonCollachi
Guest
Okay, but that wasn't my question. Who are you billing for? Are you billing for a technician that performed the scan? Is it a hospital department? Separate facility? Are you billing for a professional interpretation?
Was the ONLY denial "required modifier missing", or were there other denial/remark codes attached?
Was the ONLY denial "required modifier missing", or were there other denial/remark codes attached?
That was the only denial remarks . Billing for professional read only.
SharonCollachi
Guest
26 is the correct modifier as long as you're not billing for a facility. Perhaps it's the wrong denial code... have you checked the diagnosis to make sure it's a screening dx and not a diagnostic dx?