Lliza71
Networker
My office has noticed we're getting claim rejections on a lot of our botox injections. We are pain management so these are not for cosmetic purposes. We bill a 6461x for the chemodenervation w/a RT or LT mod then the add-on code 95874 for the needle guidance, also w/a RT or LT mod. We do not add a mod to the J7323 code for the botox. Our business office is being told the modifier is required on the J-code and has always been required, but I'm sure we did not use a mod before.
Any insight??
Any insight??