Results 1 to 2 of 2

Medicare WWE

  1. Default Medicare WWE
    Medical Coding Books
    We have had every Medicare claim (2011 dates of service) for a WWE deny since we did the 5010 update for

    "CO-4: The procedure code is inconsistent with the modifier used or a required modifier is missing. Note: Refer to the 835 Healthcare Identification Segment (loop 2110 Service Payment Information REF), if present".

    We are submitting the claims they way we always have;
    Q0091-GA as weh have an ABN on file.

    Is anyone else having this problem? I wanted to try here prior to calling Medicare as normally they cannot help and I have a hard time navigating their website. Am I supposed to be using a new modifier?

    Any help would be greatly appreciated!

    Marcie S., CPC

  2. Default
    Okay, Just wanted to update everyone;

    Per Medicare, they think they were deneid due to us not adding the modifiers in all caps. This is something I overlooked as it used to be done automatically prior to the last upgrade. If anyone else is having this issue, this may be a simple solution.


    Marcie S, CPC

Similar Threads

  1. Documenting WWE and E/M same day
    By Natalie White in forum OB/GYN
    Replies: 1
    Last Post: 04-16-2015, 07:22 PM
  2. Medicaid billing for wwe
    By in forum Diagnosis Coding
    Replies: 1
    Last Post: 10-31-2013, 10:42 AM
  3. Ordering Mammogram on WWE
    By MJ4ever in forum OB/GYN
    Replies: 0
    Last Post: 05-20-2011, 11:52 AM
  4. Gyn wwe ov/dx
    By KelliP5 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-07-2009, 02:18 PM
  5. Wwe
    By katerina_98 in forum OB/GYN
    Replies: 1
    Last Post: 06-17-2008, 05:34 PM

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.