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Thread: Modifier??

  1. #1

    Default Modifier??

    AAPC: Back to School
    We did a lumbar laminectomy on a patient for stenosis 724.02. One month later we did a bursa injection 20610 for hip bursitis 726.5. NGS MCR denied saying needed a modifier. However, originally when 20610 was filed they had the 726.5 and 724.02 both tagged to it. Do you think it really needs a modifier or just an appeal letter since the only diagnosis should have been 726.5?

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    I would call the IVR and add mod -79 and remove 724.02 since the injection had nothing to do with the surgery.
    Lisa Bledsoe, CPC, CPMA

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