Wiki Denial

[kvogel03]

Hi,

I have a scenario 92928 LD, 93458 26 59,93571 LD. Meridian Medicare Advantage is denying for the 93458 26 59 and 93571 LD. I am not sure why they are denying it. Any suggestions? Do you need another modifier? Or need to write an appeal letter ?

Thanks,

Kayla

 

[csdarrow@hotmail.com]

Try this...

93458.26.XU
93571.26
It's all in the modifiers you are using I think.

 

[kvogel03]

Ok, Thanks. So, I have never replaced 59 with XU before. Can you explain more on why to use XU modifier in this situation ?

 

[avon4117]

they didn't give you any reason for denying it?...like it was bundled or something?...if not I would not try to figure it out I would call the payer to get specifics...

 

[kvogel03]

They are saying it is denying because 93458 denied inclusive and 93571 inconsistent w modifier and missing/ incomplete HCPCS.