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Thread: -26 modifer

  1. #1
    Join Date
    Apr 2007
    Barren River Kentucky Chapter

    Default -26 modifer

    AAPC: Back to School
    My office does pacemakers and we usually bill 33217-26, here recently medicare has started dening these stating modifer isn't correct! Need help please

  2. #2
    Join Date
    Apr 2007
    Barren River, KY


    My office does Pacemakers as well and I've never billed 33217 with any modifier. Accoding to the NCD the only acceptable modifier for Medicare is 51 and for commercial carriers any of the following: 22 47 51 52 53 54 55 56 58 59 63 73 74 76 77 78 79 99 AQ AR
    CR ET GA GC GJ GR GY GZ KX Q5 Q6 QJ. Modifier 26 isn't listed anywhere. I would try billing it without any modifiers.

    Hope this helps and hope it works.
    crowmd, CPC

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