Humana requiring anatomical modifier

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1
Location
Conroe, TX
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0
I have received a denial from Humana Medicare requiring an anatomical modifier on CPT 63020, Excision of a cervical disk, one level. Has anyone else seen this or similar? I believe their edit is incorrect/invalid, but am looking to see how prevalent the denial is, to determine how far to fight it.

Thank you!

Shana DuBois, CPC
 

mk2001

Networker
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74
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We have to attach LT, RT or 50 modifier on all of our procedures that have a bilateral surgery indicator of 1 when billing Humana. I don't know anything about 63020 but it has an indicator of 1. Maybe they're asking for which side the lamina was removed. Again, not my area, I looked up the description of the code and just taking a guess.
 

jbland

Contributor
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17
Location
Brooklet, GA
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Have you called them? I have seen Humana many times say one thing on the denial and call them and it was denied for another completely different reason. I have not looked at the code, but I have had a few things deny for something completely different when I called them. Yes, I know, I do not have time to call all of these insurance companies. Maybe they need documentation?
 
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