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Modifier for Toe Avulsion

  1. Default Modifier for Toe Avulsion
    Medical Coding Books
    I am not sure what modifier I should use for the 11730 code. I submitted the procedure to medicare and recieved response CO-4 (The procedure code is inconsistent with the modifier used, or a required modifier is missing.) Since there was no modifier used I am assuming I am missing a modifier, but I am just not sure which one I would be missing.

    This procedure is not in a global period of another procedure and the patient is not enrolled in hospice. If someone could help me on this one it would be great. Thanks!

  2. #2
    Stratford, NJ
    Default toe avulsion modifier
    You need to tell them what toe was involved.
    Look at the inside front cover of your cpt book; second column on the bottom you'll see the toe modifiers beginning with TA through T9.
    Hope that helps you!
    Liza, CPC

  3. #3
    Columbia, MO
    I am in agreement with Liza, they want a toe modifier, were any other procedures performed or was this the only line item submitted?

  4. Default
    Thanks for the help, that should be what they are looking for.

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