Coding > Coding

98941 Modifier for Advantra Freedom

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Michele:
I usually sit down with my provider and explain the different requirements for each carrier.  Then we come up with a plan.  Most providers do not know what insurance a patient has when they are treating them, so it wouldn't work for them to try to figure out when they need to put "AT" modifier on the superbill and when they don't.  Most of my providers inform me that their treatment is for an acute condition unless they indicate otherwise.  Then it is up to me to know when to apply the AT modifier.  If they cannot say that majority of treatment is acute, I have them check AT on the superbill for the ones that are, and if the billing needs it then we apply it.

Michele

Pay_My_Claims:

--- Quote from: Michele on December 01, 2009, 09:58:35 PM ---Advantra Freedom First Health Life and Health Insurance  -  is that a Medicare HMO or Medicare replacement plan?  Many of those require the same modifier as Medicare - AT.  I haven't seen the 98943 covered very much, no matter what modifier is put on.  As for the others, they may require a 59 modifier, but the provider would have to let you know if it was 'distinctly separate' from the other codes.  You can't just add them to get it paid.

Michele

--- End quote ---

it is a medicare replacement plan.....

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