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Posted By angie on 01-10-2018, 17:30:24 in Ob-Gyn
UCare denied 59025-26 as CO – 4, Procedure code is inconsistent with the modifier used or a required modifier is missing. did anything change that we can't bill mod 26 on 59025
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Posted By Melanie Witt on 01-12-2018, 14:23:10
59025 still has the -26 and TC modifiers, but they may have denied it if you used this modifier with an office POS. If the NST result was faxed to the office for reading and interpretation from the hospital, for example, you would have to use the modifier-26 but the hospital is billing TC and the service was actually performed in the facility so I believe some payers require that site of service match. Check to see if that is the issue.
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