Wiki Missed Abortion

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Lisawills08

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Beecher city, IL
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The patient had a missed abortion and had procedure 59820, care of miscarriage, with ICD 10 of O02.1. This is paid in the hospital setting but this patient went to an ASC and was denied and is stating we need a modifier? The insurance is medicaid Blue Cross in Illinois. The surgical center got the same thing. Any help would be appreciated!!!!
 
Lisawills08 said:
The patient had a missed abortion and had procedure 59820, care of miscarriage, with ICD 10 of O02.1. This is paid in the hospital setting but this patient went to an ASC and was denied and is stating we need a modifier? The insurance is medicaid Blue Cross in Illinois. The surgical center got the same thing. Any help would be appreciated!!!!
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I would say try modifier SG to signify performed in an ASC setting.
 
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