Medical Billing Forum
Coding => Coding => : avista April 22, 2008, 04:00:23 PM
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I have a question regading the use of 98943-51 code for extra spinal. I know this is the correct code and modifier to be billed with a 98940. However, do I use the same modifier if I am billing it with a 98941. I can't find any information saying otherwise, but the insurance company is denying.
Thanks for any help
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The 51 modifier would be appropriate with both the 98940 and the 98941. The insurance company that is denying must be denying for a different reason, such as a policy exclusion, or specific carrier guideline. I would call customer service and ask for an explanation of the denial. Possible even appeal the denial of the charge.
Good luck
Michele