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Otolaryngology Coding Alert

Reader Question:
Consider Laterality Modifiers When Appealing 30901 Denial

Question: We’ve got a payer denying 30901-RT when submitted with a 99204-25. Is there any clear reason why the payer might deny this claim? Florida Subscriber Answer: Modifier 25 (Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service) indicates to the payer [...]