prem_ponnuru
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Hi All,
Can anybody explain me which modifier is apropriate in the following scenario.
Surgeon has performed cpt 37765 on RT leg on 1st april 2009 and did the same procedure on 15th april 2009 on LT leg. Again he is repeated the same procedure on 30th april 2009 on RT leg for some mechanical complication (complication developed for both the legs)
04.01.09----37765-RT PAID
04.15.09----37765-LT DENIED 79
04.30.09----37765-RT DENIED 78/79
Now which modifier is to be used on the third claim 78 or 79.
My question is how should we select a modifier? based on paid claim or simply previous surgery even it got denied.
Thanks in advance.
Prem.
Can anybody explain me which modifier is apropriate in the following scenario.
Surgeon has performed cpt 37765 on RT leg on 1st april 2009 and did the same procedure on 15th april 2009 on LT leg. Again he is repeated the same procedure on 30th april 2009 on RT leg for some mechanical complication (complication developed for both the legs)
04.01.09----37765-RT PAID
04.15.09----37765-LT DENIED 79
04.30.09----37765-RT DENIED 78/79
Now which modifier is to be used on the third claim 78 or 79.
My question is how should we select a modifier? based on paid claim or simply previous surgery even it got denied.
Thanks in advance.
Prem.