• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Help with code 95941

Create Wiki
C

cae77

New
Messages
6
Location
Albuquerque, NM
Best answers
0
Hi,
Can anyone help? I have a claim where a 26 modifier was added to the procedure code 95941, and was denied as invalid modifier. I cannot figure out why this would have been added in the first place. Is there a justifiable reason for adding this modifier to this code?

Thanks!
 
carmen77 said:
Hi,
Can anyone help? I have a claim where a 26 modifier was added to the procedure code 95941, and was denied as invalid modifier. I cannot figure out why this would have been added in the first place. Is there a justifiable reason for adding this modifier to this code?

Thanks!
Click to expand...

According to the 2013 RVU Files, 95941 (and also the similar 95940) does not have a TC/26 breakdown, so you should be able to bill it appropriately without the 26 modifier. I can't think of any reason it should be added, unless whoever did it assumed it needed the 26 since the code it replaced also did.

Hope this helps!
 
You must log in or register to reply here.
Top