Wiki J2785 Denied needs modifier

[barbara@okaloosaheart.com]

J2785 Denied needs modifier. United and now Humana is denying for modifier. This is done in office. Do we use JZ modifier?

 

[mikhaila]

Hello,

You didn't provide specifics but the CMS link below gives scenarios to better discern usage of the JZ modifier.

First link: FAQ for JZ and JW for billing - when and how to use it.

https://www.cms.gov/medicare/medicare-fee-for-service-payment/hospitaloutpatientpps/downloads/jw-modifier-faqs.pdf

Second link: Original article that led me to first link.

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55932