Wiki denial due to inappropriate modifier

june616

Networker
Messages
62
Location
Navarre, FL
Best answers
0
This what our claim went out like:

99214-25
96372
J1885-51
J3420
17110-59

All was paid by Humana except J1885 citing the inappropriate use of the modifier. Should -51 be attached to 96372? Or should 96372 been on the claim twice for each injection?

Like this?
99214-25
96372
J1885
96372-51
J3420
17110-59


Thank you in advance!
 
I do agree with Jennifer if documentation supports the charges. Modifier 51 can be problematic and in your case, not even necessary.
 
Last edited:
Top