Results 1 to 2 of 2

Help please!!! - correct modifier

  1. #1
    Default Help please!!! - correct modifier
    Medical Coding Books
    Recently Healthchoice has denied payment of A7003 and A7016 when billed with 94640 is anyone else experiencing this issue? They are stating in their denial to resubmit the claims with the correct modifier? I don't understand, can someone help me pleasE? Thanks


  2. #2
    Alexandria Minnesota Chapter
    Some of our payers bundle A7003 with 94640, but most of them reimburse between 22% and 90% of the fee billed. I believe it is payer-specific.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.