Wiki fracture question

[Rhonda Hammond]

We billed the follow scenario and having issues with the modifier. Can anyone give some light to this?

20692- RT/T8/GC
11012- RT/GC
28455- RT/GC
28475- RT/GC


Our denial is on line 1 and line 4 stating the modifier is inconsistent.

Thanks for your help.

 

[Orthocoderpgu]

On line one you don't need two laterality modifiers (-RT & T8). One or the other. And for line four even though it was done at the foot level, insurance companies like to know specifically which metatarsal is involved, so use a T modifier.

 

[Rhonda Hammond]

Thank you so much!!!!