kristinemarie
Guest
I received a denial from BlueAdvantage (Medicare) and they are saying that they do not like the modifier 91 appended to this scenio...
88304- dx code...L72.3
88304-91-dx code...L72.3, same as the previous code.
Two bx performed this day, so 2 path charges.
Does anyone have any input on this? This practice has always used the 91 modifier to show the same diagnosis code from what I was told. I read that the modifier 91 is used for the "Repeat Clinical Diagnostic Laboratory Test." It does not say anything same dx for same cpt code.
I am thinking that modifier 59 would be more appropriate????
Anybody?
88304- dx code...L72.3
88304-91-dx code...L72.3, same as the previous code.
Two bx performed this day, so 2 path charges.
Does anyone have any input on this? This practice has always used the 91 modifier to show the same diagnosis code from what I was told. I read that the modifier 91 is used for the "Repeat Clinical Diagnostic Laboratory Test." It does not say anything same dx for same cpt code.
I am thinking that modifier 59 would be more appropriate????
Anybody?