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Thread: 11402 & 12302 Modifier Usage

  1. #1

    Default 11402 & 12302 Modifier Usage

    AAPC: Back to School
    We are finding that the insurance carriers are denying our claims when billed w/ both codes, 11402 & 12032. Is there a specific modifier we should bill w/? Or do we need to submit an appeal w/ notes?

  2. #2
    Join Date
    Apr 2007
    Jacksonville, FL


    I work for a large Insurance carrier and I just ran those 2 codes through our system and we allow them both, no modifiers. You shouldn't need a "59" since they technically aren't a separate site. (And that is a last resort modifier) I can't think of any other appropriate mods to bill for this scenario and my suggestion would be to contact your Provider Rep for the carrier that is denying the claims and ask what the edit is that is denying this combo.

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