Forum - Questions & Answers

Oct 20th, 2009 - liajasmine

Modifier 21

Aloha, I am a little new to billing (in Hawaii) and just had a claim sent back because we had billed it with modifier 21. I called the ins company (BCBS) and of course they could not inform me of what to replace 21 with or how to bill the procedure. Anyone know? Any thoughts or advice would be much appreciated!

Oct 20th, 2009 - nmaguire   2,606 

modifier 21

This modifier is no longer valid. Deleted. The modifier used would depend on circumstances documented.

Oct 20th, 2009 - Codapedia Editor 1,399 

modifier 21

Welcome!! Wish we had your weather here!

Search in the database (In the box above "look it up") and you will find articles on prolonged services and modifier 21. Modifier 21 is no longer valid, but there are prolonged services codes.



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