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Help with 36478

bedforak1

Guru
Messages
118
Location
Nashville, TN
Best answers
0
I need some help please!! We have been receiving denials for 36478 with denial codes
CO4 and MA130. All have been billed with the RT or LT modifier. Any suggestions?
 

bedforak1

Guru
Messages
118
Location
Nashville, TN
Best answers
0
I sure have. Those denial codes state invalid and/or missing modifier for the CO4. The MA130 states that claim contains incomplete and/or invalid information.
 

jmcpolin

True Blue
Messages
841
Location
Midvale, UT
Best answers
0
That is strange I used to work for some vascular surgeons and we did that all the time the only denial I ever saw was for the dx code. Is it just Medicare or all payors?
 

bedforak1

Guru
Messages
118
Location
Nashville, TN
Best answers
0
That's why I am stumped. We've checked the CCI edits, NCDs. etc. We are billing a varicose vein dx and it's just Medicare that's denying them. We have even tried to take the RT or LT off and it still denies
 
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