treinemer
Networker
Hi All,
I have been seeing denials for multiple scenarios for missing modifier. These are cases where no modifiers are needed, ie. 88305, 88350, 88346. Non pbb clinic, commercial payor. The only thing I can think of is, besides just denying to deny, is that they want a laterality modifier, this particular one is for an arm. We have not seen/used laterality on the path codes before so wondering if something changed, or if we should have been using them and insurance is getting on them.
Thanks!
I have been seeing denials for multiple scenarios for missing modifier. These are cases where no modifiers are needed, ie. 88305, 88350, 88346. Non pbb clinic, commercial payor. The only thing I can think of is, besides just denying to deny, is that they want a laterality modifier, this particular one is for an arm. We have not seen/used laterality on the path codes before so wondering if something changed, or if we should have been using them and insurance is getting on them.
Thanks!