Good morning!
We bill L4360 & L4396 quite frequently. We received a denial that L4396 is considered to be CCI Inclusive of procedure code L4360. (The modifier for both codes is LT). I have searched and searched and cannot find this CCI edit (never mind the fact the CCI site confuses me, but I have given a fair amount of time and effort searching). I called provider relations and they couldn't point to the edit and said I would have to appeal.
No other insurance company has denied either code in this way. I'm at a loss. One is a walking boot, one is a night splint. I am not even sure what write in my appeal. Any advice? Thanks in advance!!