G0478 denieals

srivera265

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I notice that Medicare start denied
G0478...I added QW modifier and got denied again?
Help !!!! :(
 

srivera265

Guest
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What denial reason are they using? Do you have a CLIA waiver? Is the number being sent on the claim?
The denial reason is CO-182 Procedure modifier was invalid on the date of service. We do have CLIA waiver, but I need to check if the number is being sent on the claim.:(
 

Walker22

True Blue
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Cumming, GA
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The denial reason is CO-182 Procedure modifier was invalid on the date of service. We do have CLIA waiver, but I need to check if the number is being sent on the claim.:(
Also, if the claims were submitted before April 4th, you may need to submit them again (assuming there are no other issues). Medicare neglected to update the new G codes on the CLIA-waived list when they went into effect on Jan 1. They supposedly fixed this on April 4th.
 
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