Wiki Modifier for Toe Avulsion

[joglesbee]

I am not sure what modifier I should use for the 11730 code. I submitted the procedure to medicare and recieved response CO-4 (The procedure code is inconsistent with the modifier used, or a required modifier is missing.) Since there was no modifier used I am assuming I am missing a modifier, but I am just not sure which one I would be missing.

This procedure is not in a global period of another procedure and the patient is not enrolled in hospice. If someone could help me on this one it would be great. Thanks!

 

[Lliza71]

toe avulsion modifier

You need to tell them what toe was involved.
Look at the inside front cover of your cpt book; second column on the bottom you'll see the toe modifiers beginning with TA through T9.
Hope that helps you!
Liza, CPC

 

[mitchellde]

I am in agreement with Liza, they want a toe modifier, were any other procedures performed or was this the only line item submitted?

 

[joglesbee]

Thanks for the help, that should be what they are looking for.