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AS modifer CPT 27447

  1. #1
    Unhappy AS modifer CPT 27447
    Medical Coding Books
    We billed this CPT 27447 with an AS modifier to Medicare and received a rejection of the procedure is inconsistant with modifier used or a required modifier is missing. Does anyone know if even though in the description of the procedure it states (total knee anthroplasty) if we need the LT/RT modifiers? When we called Medicare they stated the AS modifier was correct but required an additional modifier.

  2. #2
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    If there was nothing else done that would require another modifier I would guess it is the LT/RT although we have not had a problem with that ourselves.

    thanks
    Tina

  3. #3
    Default
    I agree with Tina, I never had a problem billing with -AS modifier alone if nothing else was done

    Sharon

  4. #4
    Default
    That's odd coming from Medicare, I bill this code all the time with only the -AS modifier. I've never once received a denial, I suggest you appeal this.

  5. Default
    I recently had the same issue with Medicare. As I have never had this issue before and no other modifier was required, I just appealed the denial. There is no reason to not pay the claim. Maybe this is a new "glitch" with Medicare??

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