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Wiki TAVR Assist Surgeon issues

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jroden56

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Local Chapter Officer
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Camdenton, MO
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Medicare denying cpt code set: 33361-80,Q0 missing modifier. When condition merits 3rd surgeon ( assistant), is anyone getting past this denial of missing modifier? Cant get passed this first rejection so documentation can be submitted to validate assistant. Rep states its the modifier that is causing code set to reject. no other modifier describes Assistant ( MD ) but 80... correct?

thanks for any/all insights.
jro
 
Thank you for your input. It is difficult at times to determine correct responses to denials/rejections and at times we are only able to see a small window of how other MACs or claims are processing. This forum is a great resource.

Judy Roden CPC, CPB
Lead AR Specialist
 
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