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denial for 22015

  1. Default denial for 22015
    Medical Coding Books
    I keep getting denials for 22015-78 saying that the modifier is inconsistent with the procedure. They with in the 90 days and they all have infection. Does anyone know why they are doing this?

  2. #2
    Default
    Are you coding for the complication as the reason the patient had to return to the operating room? That could be the reason they are denying. Just a suggestion.
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

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