LaurenBrooke
Contributor
Hi,
I have noticed denials from Humana on procedures billed with mod -79 performed during the global of another procedure.
Commonly seen on cataract surgery done on the opposite eye during the global period of the first eye. Practice is also billing with laterality mods.
For example, first claim is billed as 66982 -RT and at a later date practice is billing 66982 -79 -LT for the second eye; however, Humana is denying second eye for modifier missing or inconsistent with procedure.
Have others come across this, and if so, how is it being handled for your clients?
I have noticed denials from Humana on procedures billed with mod -79 performed during the global of another procedure.
Commonly seen on cataract surgery done on the opposite eye during the global period of the first eye. Practice is also billing with laterality mods.
For example, first claim is billed as 66982 -RT and at a later date practice is billing 66982 -79 -LT for the second eye; however, Humana is denying second eye for modifier missing or inconsistent with procedure.
Have others come across this, and if so, how is it being handled for your clients?