First Coast Service Options Inc. (First Coast) has discovered that claims containing Current Procedural Terminology (CPT®) code 95910 that were billed with either modifier 26 or TC may have denied in error. The specific message code being received is "Procedure modifier was invalid on the date of service." This processing issue was corrected March 7.
No action is required by the provider
First Coast is working diligently to identify all services that have been denied in error and will make any necessary adjustments to impacted claims -- it is unnecessary to call the provider contact center regarding these incorrect denials. In addition, First Coast requests that providers do not submit appeal or reopening requests for these impacted claims.
Reference: http://medicare.fcso.com/Processing_Issues/250453.asp
Blogger Widget
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
An OPPS payment status indicator is assigned to every HCPCS code. The status indicator identifies whether the service described by the H...
-
Therapeutic activities are considered medically necessary for patients needing a broad range of rehabilitative techniques that involve ...
-
CIGNA covers chiropractic manipulation and adjunct therapeutic procedures/modalities (e.g., mobilization, therapeutic exercise, traction) ...
-
This procedure is medically necessary only when it requires the professional skills of a therapist, is designed to address specific ne...
-
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...
-
Definition: The “-59” modifier is used to indicate a distinct procedural service. The physician may need to indicate that a procedure or...
-
A physical performance test or measurement may be reasonable and necessary for patients with neurological or musculoskeletal conditions...
-
CIGNA will adopt a common time frame for health care professionals to follow for submitting claims to CIGNA. Except where state law requir...
-
Modifier 51 designates multiple procedures that are rendered at the same operative session or on the same day. Modifier -51 (multiple p...
