Wiki Modifiers

[jswenson300@email.porterchester.edu]

cpt question: 64405 is a nerve block injection occipital. Insurance is rejecting it and asking for modifier. What modifier should be used and where did you find it if you can?

 

[shanamarie]

If your not billing bilateral injections, then try adding a RT or LT modifier to specify the side injected. We have been seeing rejections/ denials for the same thing from BCBS and Tricare. They are paying once we specify the side.