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.