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Does anyone know modifiers needed for CalOptima?

B

benaxixon

Guest
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23
Location
Garden Grove, CA
Hi,
I kept getting denials for x-rays and procedures from 1000-6000 series for missing modifier.
 
All surgical procedure codes require a modifier. The primary surgeon or podiatrist is required to use AG on the only or highest valued surgical procedure code (10000-69999) being billed for the date of service. This does not include codes that require split bill modifiers. That is also in the link I posted above under Surgery: Billing with Modifiers. I think that information could help lead you in the right direction. Good luck! :)
 
wow. Thanks. Let me try that. I been billing for professional and TC modifiers for xrays to but those got denied. Is there are another modifier I can use? Thanks
 
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