Originally, Medicare paid for the E/M, flu shot and admin (G0008), and denied the tetanus shot/admin (90471). We sent in an appeal for the tetanus, so Medicare paid for the tetanus shot/admin but then took back the payment for G0008 only, saying the denial is due to incorrect/missing modifier.
I've read that we should have used -59 on the 90471, but then I also saw a post saying that they did that and was still denied.
Has anybody come across the same situation? Any suggestions on exactly what modifiers and to which codes it should be attached?
ETA: I did find that Medicare requires -AT for the tetanus admin, but then they paid for it without that.
Thank you!
I've read that we should have used -59 on the 90471, but then I also saw a post saying that they did that and was still denied.
Has anybody come across the same situation? Any suggestions on exactly what modifiers and to which codes it should be attached?
ETA: I did find that Medicare requires -AT for the tetanus admin, but then they paid for it without that.
Thank you!
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