Good morning -
I'm having a bit of difficulty trying to figure out just what Medicare wants when coding our PT services. I've sent 97001, 97112 (with multiple # of services) and I'm getting the CO-4 denial, which is stating that the procedure code is inconsistent with the modifier used (I didn't use any) or a required modifier is missing. I'm not sure what's going on here. I've been coding the 97112 with multiple # of services, instead of putting them on separate lines. I don't know if that's the issue, because when I coded a 97001 with a single unit of 97112, they both denied with the CO-4. Any help would be greatly appreciated!!
Thank you!
I'm having a bit of difficulty trying to figure out just what Medicare wants when coding our PT services. I've sent 97001, 97112 (with multiple # of services) and I'm getting the CO-4 denial, which is stating that the procedure code is inconsistent with the modifier used (I didn't use any) or a required modifier is missing. I'm not sure what's going on here. I've been coding the 97112 with multiple # of services, instead of putting them on separate lines. I don't know if that's the issue, because when I coded a 97001 with a single unit of 97112, they both denied with the CO-4. Any help would be greatly appreciated!!
Thank you!
You've made my day.