Wiki Denial 36200

[kvogel03]

Hello,

I billed 36200 and 75630 26,XU to Medicare Plus Blue. They are denying the 36200 for anatomical modifier. Suggestions on what modifier they are looking for ?

 

[Jim Pawloski]

Tell the third party payer that there is no anatomical modifier for catheter placement, aorta. If you are billing for the doctor, then modifier -26 is needed.
HTH

 

[kvogel03]

Okay, thanks for your help.