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Wiki Please respond - Medicare denying for units

Biller2023

Networker
Messages
75
Location
Trenton, NJ
Best answers
0
Provider performed 64450 injection on 8 areas on each side (RT & LT). I submitted this claim to Medicare with 50 modifier and 16 units (since it is 8 areas on each side) but they denied
stating Payment adjusted because the payer deems the information submitted does not support this many/frequency of services.
So should I bill 8 units with 50 modifier but will they pay for all the 16 units.?​
 
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