Medical Billing Forum

Coding => Coding => : ECBSJC September 15, 2021, 12:05:49 PM

: Modifiers with UHC
: ECBSJC September 15, 2021, 12:05:49 PM
I am billing PT modalities (97110, 97140 and 97014) under a Chiropractor with UHC.  When I bill the claim without using any modifiers, the modalities are denied for not using the proper modifiers.  When I bill the claim with GP modifiers (still under the Chiropractor), the claims are processing out under the PT visit limit.  What modifiers should I be using to show that these are PT charges billed by a Chiropractor, to ensure the claims are processed under the Chiropractic visit limit?
: Re: Modifiers with UHC
: Michele September 16, 2021, 05:30:03 PM
We bill for several DCs as well.  We have found that UHC requires us to bill the modalities with the GP modifier even though it's not a PT performing the service.  I am not aware of any other way to bill for the modalities.  No other modifiers describe the service.  They should not be counting it against the PT though, that doesn't seem fair.