Dear Coding Friends,
I am experiencing NC Medicaid rejections on the following:
45385 43248
45380-59 43239 59
They kept denying for wrong modifier. I poured over their manuals, modifier lists, and realized based on the modifier list they want 51 on the second procedure. A few paid, most have rejected. When I call they certainly won't point me in the right direction, just that we're using the wrong modifier. They don't recognize XS either. Does anyone have experience with NC Medicaid billing multiple endo procedures?
Grateful for your thoughts,
Linda
I am experiencing NC Medicaid rejections on the following:
45385 43248
45380-59 43239 59
They kept denying for wrong modifier. I poured over their manuals, modifier lists, and realized based on the modifier list they want 51 on the second procedure. A few paid, most have rejected. When I call they certainly won't point me in the right direction, just that we're using the wrong modifier. They don't recognize XS either. Does anyone have experience with NC Medicaid billing multiple endo procedures?
Grateful for your thoughts,
Linda