Forum - Questions & Answers

Feb 2nd, 2011 - rphelps 615  1 

PT Modifier

With new PT modifier for Medicare, what is primary diagnosos code 45385 PT with V76.51 or 211.3 as primary.

Feb 2nd, 2011 - jayceeal05 5 

PT modifier!?!

Our clinic uses the V76.51 dx code for the 45385 colonoscopy, but our claims have been rejecting through the contract carrier because the -PT modifier was "Inconsistent with the procedure." I contacted Cahaba and was told the changes Medicare implemented on 1/3/11 have been causing claims to deny in error so written appeals will have to be mailed to Cahaba. I have been removing the -PT modifier because the deductible is still being applied to the screening-turned-diagnostic procedure codes.

Feb 3rd, 2011 - rphelps 615  1 

PT modifier

The instructions say a new HCPCS modifier so I am refiling with the screening code and putting V76.51 as primary code and 211.3 as secondary.



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association