Wiki RPM denials- looking for potential modifier help

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Lehi, UT
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Has anyone found specific modifiers to be successful in avoiding this denial for RPM Services in a postoperative period? Codes typically being used are 99453, 99454, 99458, 99458, 99091. We wondered if a -79 or perhaps -33 would work? (my concern with -79 is it isn't a hospital outpatient procedure for the clinic) Also, to clarify, the start of RPM services is at least 1 day prior to the surgical procedure typically and is not billed until completion 30 days after.
 
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