Medical Billing Forum

Coding => Coding => Topic started by: PT Biller9200 on December 07, 2017, 12:40:29 PM

Title: HCPCS coding question
Post by: PT Biller9200 on December 07, 2017, 12:40:29 PM
Hello,
I am having issues with a claim denial due to "invalid combination of HCPCS Modifiers". We are a Physical Therapy office, so we have a short list of procedure codes that we bill, and I haven't had an issue with HCPCS mods before.
ICD 10 codes are: M25.632, S52.532A
Treatment codes are:
97530-59
97140
97110
97010
I can't find an applicable rehabilitation HCPCS codes...
Are HCPCS modifiers based off of the Diagnosis Code?
I'd appreciate any help I can get.
Thanks
Title: Re: HCPCS coding question
Post by: Michele on December 07, 2017, 07:19:42 PM
What insurance carrier is it?  Without knowing a bit more I would advise to contact the insurance carrier and ask them to explain the denial.  Based on the information you gave there does not appear to be any modifier issue.