Wiki Modifier for 62328

[brittanyf58@gmail.com]

I got a denial from Medicaid saying cpt code 62328(spinal puncture) needs a modifier. Do you know what modifier they are talking about?

 

[prayercoder]

It isn't a bilateral procedure so a 50 or RT/LT wouldn't be required. Was it done with an E/M visit? Perhaps it needs a 25 modifier if it was a separate, distinct procedure from the E/M visit. If it was done with other procedures, perhaps it needs a 59 modifier. Did you check to see if it was hitting NCCI edits?

 

[brittanyf58@gmail.com]

It was a CCI edit. Thanks so much!