Wiki Go0260 denial with modifier

[skanderson]

The physicians that use our ASC state in their dictation that they are doing either a LT or RT sacroliac injection and we have been adding the modifier. Up until now, Medicare has accepted the modifier and suddenly our claims are being rejected. I called our Medicare contractor and was told NOT to use a modifier. Has anyone else had these denials or do you file claims w/o LT and RT modifiers?

 

[ohiocoder101]

I work for an asc and found you have to use -kx modifier along with dx 724.6. I use lt&rt after the kx and have not had any problems.

Hope this helps?