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Sinus surgery

Melissa Posted Fri 24th of May, 2013 13:13:46 PM

Sent claim to UHCCP and codes "30520" & "30140" were denied stating that they needed Professional and Technecial modifiers. Have never run across this situation before. Could you advise

SuperCoder Answered Tue 28th of May, 2013 19:23:22 PM

The payer is making no sense. These are surgical procedures and do not have professional and technical components. As such, the 26 and TC modifiers are not applicable to these codes. I would appeal this denial and tell the payer that perhaps they are confused.

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