Go Back   AAPC Forum > Medical Coding > Billing/Reimbursement
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 06-06-2013, 10:15 AM
Join Date: Apr 2007
Posts: 17
GRANNAN is on a distinguished road
Unhappy Rac denial on 22525 cpt

my facility (hospital) just received several RAC denials for not adding a modifier to 22525.
I know this is an add-on code and SHOULD not require a modifier.
I'm wondering if there is anyone else out there that has had these denials for not adding a modifier.
Every article I'm finding is stating not to add modifiers. I haven't been able to find anything
"official" from CMS. Can anyone provide a link to CMS for this, if there is one?
Thanks very much.
Reply With Quote
Old 06-06-2013, 04:21 PM
mitchellde's Avatar
mitchellde mitchellde is offline
True Blue
Join Date: Apr 2007
Location: Columbia, MO
Posts: 10,738
mitchellde will become famous soon enoughmitchellde will become famous soon enough

What were all the codes submitted?

Debra A. Mitchell, MSPH, CPC-H
Reply With Quote
Old 06-07-2013, 03:06 AM
Peter Davidyock Peter Davidyock is offline
Join Date: Apr 2007
Location: Coastal Coders
Posts: 399
Peter Davidyock is on a distinguished road

We have been forced to add modifiers to add on codes. Specifically to 99292.
When 99291 is submitted with a 25 we must put a 25 on the second level.
So when you submit 22524 and it's modified (which wouldn't surprise me with the code set these days) then I would expect the add on is going to require it as well.
They shouldn't however be asking for something other than what is on the parent code.
There is so much overlap in these codes that I expect we will see a major overhaul in them soon.
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:34 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC