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Wiki fracture question

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Rhonda Hammond

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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.
 
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.
 
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