Forum - Questions & Answers

Oct 14th, 2015 - medhari15 3 

Valid Modifier required


Have an issue with a CPT® 87804 billed twice on a with the below mentioned DX and modifier. We are receiving a rejection as need valid modifier


DX R509 & J111


DX R509

Please guide me on the issue

Oct 14th, 2015 - petunia 195 

re: Valid Modifier required

Back in the day when I billed Medicare for pathology they wanted a 76 or 77 modifier depending if the second test was same provider=76 or different provider=77

Oct 14th, 2015 - LBAROGIANIS 250 

re: Valid Modifier required

The MUE is 3. I would try billing like this 87804-QW x 2.

Oct 15th, 2015 - rphelps 615  1 

re: Valid Modifier required


Oct 15th, 2015 - Cat1 41 

re: Valid Modifier required

I would agree with rphelps :o)

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