MChase928
Contributor
We have several recent bilateral FESS procedures that we first billed to Veterans Administration Community Care Network (Optum/UHC network) using 50 modifier. Claim was rejected. After speaking with VA we were told to send a corrected claim without the 50 modifier which we did and claim rejected again. Third time speaking with a VA Optum rep, we were told to submit one line item with 2 units for bilateral procedure. Claim again rejected for invalid number of units. Claim example 31253 bilat, 31267 bilat and 30140 bilat. Second claim example 30520, 31253-51-LT, 31255-XS-RT, 31267 x 2 units, 30140 x 2 units. Any insight into this claims debacle will be appreciated. Thank you.