• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

modifier needed for 73564?

L

LauraNewYork

Networker
Messages
68
Location
Clay, NY
A commercial insurer is denying payment for 73564 (xray knee, 4 view) that was billed with dx code of right knee pain (M25.561) saying that a modifier is required. I'm at a loss. What modifier might they want?
 
If you didn't bill it with a laterality modifier (RT/LT/50), that is most likely what they are asking for. If you did bill it with a laterality modifier already, then perhaps review to see if there were other x-rays it could bundle to or if a 26/TC is appropriate.
 
You must log in or register to reply here.
Top