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Thread: Modifier for HCPCS?

  1. #1

    Default Modifier for HCPCS?

    AAPC: Back to School
    I have a prob w/ USDL,they denied our implants w/ an authorization ,they are asking us for a modifier 59 for our implants ( pt had 4 implants)
    has anyone ever encountered this.

    Thanks for your help

  2. #2


    I myself have never heard of that because normally implants don't have modifiers for an ASC but maybe it's carrier driven. I would call them or review the contract to see why they want this.

    Hope this helps!

  3. #3
    Join Date
    Apr 2007


    The US Dept of Labor has their own set of rules for everything!! I dont ever recall doing it, but with them, you do as they ask..but next week they will want it a different way...grrrrr they disgust me..lol

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