Forum - Questions & Answers

Sep 11th, 2014 - cardio13 2 

Correct Modifier for Cardio

Hello, I have a claim that was billed to Medicare with 93458 (26,59) modifiers, 362116 (59) & 75756 (26,59) modifiers
The 75756 rejected "The procedure code is inconsistent with the modifier used or a required modifier is missing"
Can anyone tell me what the correct modifiers should be or where I can find that information, also would it be paid at all with any modifier.
Thank you in advance for your help.

Sep 12th, 2014 - gloriajaye 10 

re: Correct Modifier for Cardio

Code 75756 is bundled into code 93458, therefore code 75756 cannot be billed with 93458 in any circumstances.



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