tcraig
Networker
Colorado Medicare is denying our claims when we do an EP study (93620) when appended with a 52 modifier. We sent, via fax, per their instruction, the following explaination:
"The 52 modifier was added to CPT code 93620-25-52 as this was reduced service because only one catherter was placed in the right ventricle (RV) and not in the right atrium or HIS bundle. The medical notes are attached for your review."
While they tell us what we have provided is technically correct, they want more information.
Does anyone have any additional information we could provide to them?
"The 52 modifier was added to CPT code 93620-25-52 as this was reduced service because only one catherter was placed in the right ventricle (RV) and not in the right atrium or HIS bundle. The medical notes are attached for your review."
While they tell us what we have provided is technically correct, they want more information.
Does anyone have any additional information we could provide to them?